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báo cáo khoa học:" Health care providers underestimate symptom intensities of cancer patients: A multicenter European study"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Health care providers underestimate symptom intensities of cancer patients: A multicenter European study | Laugsand et al. Health and Quality of Life Outcomes 2010 8 104 http www.hqlo.eom content 8 1 104 HEALTH AND QUALITY of life outcomes RESEARCH Open Access Health care providers underestimate symptom intensities of cancer patients A multicenter European study c I r A I 1 I I S I- 1 ỉ I rí m A c rx i Jr S rw r 2 1 r I r I r Dí r r rl 113 c c Iz X r rx 4 c X I r 1 - - I 1 5 D 4 I isl z rx I I rl 6 7 Eivor A Laugsand Mirjam AG Sprangers Kristin DjOiuai Frank SKorpen Stein Kaasa Pdl Klepstaa Abstract Background Many patients with advanced cancer depend upon health care providers for symptom assessment. The extent of agreement between patient and provider symptom assessments and the association of agreement with demographic- and disease-related factors was examined. Methods This cross-sectional study included 1933 patient-health care provider dyads from 11 European countries. Patients reported symptoms by using the four-point scales of the European Organization of Research and Treatment of Cancer Core Quality of Life Questionnaire EORTC QLQ-C30 version 3 and providers used corresponding four-point categorical scales. Level of agreement was addressed at the group level Wilcoxon Signed-RanK test by difference scores provider score minus patient score at the individual level Intraclass Correlation Coefficients ICCs and visually by Bland-Altman plots. Absolute numbers and chi-square tests were used to investigate the relationship between agreement and demographic- as well as disease-related factors. Results The prevalence of symptoms assessed as moderate or severe by patients and providers respectively were for pain 67 vs.47 fatigue 71 vs. 54 generalized weakness 65 vs. 47 anorexia 47 vs. 25 depression 31 vs. 17 constipation 45 vs. 30 poor sleep 32 vs. 21 dyspnea 30 vs. 16 nausea 27 vs. 14 vomiting 14 vs. 6 and diarrhea 14 vs. 6 . Symptom scores were identical or differed by only one response category in the majority of patient-provider assessment pairs 79-93 . Providers .