Cited by 323Cancer survivorship and carePalliative and Oncologic CareLung Cancer Diagnosis and Treatment

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Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer

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Degner, Lesley F., Sloan, Jeffrey A.·1995·Journal of Pain and Symptom Management

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Abstract

Levels of symptom distress are most often measured in a clinical trial context rather than in general ambulatory populations. The purpose of this paper is to report levels of symptom distress in such a population, and to describe the factors associated with this distress. Over a 6-month period, a consecutive sample of 434 newly diagnosed patients, including 82 patients with lung cancer, were tested with the symptom distress scale at two tertiary oncology clinics serving the population of one Canadian prairie province. While levels of symptom distress in this population were generally low, the most problematic symptoms for patients were fatigue and insomnia, with 40% and 30% having moderate or high scores on these symptoms, respectively. Patients with advanced disease reported more distress than those with early stage disease; women reported more distress than men; older patients had less distress than younger patients; distress was highest in lung cancer patients and lowest in men with genitourinary cancers. Consistent with the findings of four previous studies, the single measure of symptom distress was a significant predictor of survival in lung cancer patients, with the exception of three patients who had substantial post-thoracotomy symptoms.

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Authors: Degner, L. F., & Sloan, J. A.
Affiliations: University of Manitoba (CA)
Venue: Journal of Pain and Symptom Management
Publisher: Elsevier BV
Published: 1995-08
Volume: 10
Issue: 6
Pages: 423-431
ISSN: 0885-3924 (ISSN-L)
DOI: 10.1016/0885-3924(95)00056-5
OpenAlex: W2097149048
Cited by: 322
References: 18
Citations by year: 2026: 2 · 2025: 1 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 3 · 2019: 3 · 2018: 10 · 2017: 7 · 2016: 11 · 2015: 11 · 2014: 16 · 2013: 15 · 2012: 11
FWCI: 1.35
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 8931 d)
Locations: Journal of Pain and Symptom Management (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Diagnosis and Treatment
Keywords: symptom distress, newly diagnosed cancer, ambulatory cancer patients, lung cancer, survival prediction, fatigue, insomnia, advanced disease, sex differences, age differences, genitourinary cancer, Symptom Distress Scale
MeSH terms: Adult, Aged, Aged, 80 and over, Ambulatory Care, Cancer Care Facilities, Female, Humans, Lung Neoplasms, Male, Middle Aged, Prognosis, Quality of Life

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Symptom distress in newly diagnosed ambulatory cancer patients and as a predictor of survival in lung cancer

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