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BACKGROUNDAdvanced lung cancer (LC) patients and their families have reported low self‐efficacy for self‐care/caregiving and high rates of distress, yet few programs exist to address their supportive care needs during treatment. This pilot study examined the feasibility, acceptability, and preliminary efficacy of a 6‐session, telephone‐based dyadic psychosocial intervention that was developed for...
BACKGROUNDFive highly specific physical signs associated with death within 3 days among cancer patients were recently reported that may aid in the diagnosis of impending death. In this study, the frequency and onset of another 52 bedside physical signs and their diagnostic performance for impending death were examined.
METHODSThree hundred fifty‐seven consecutive patients with advanced cancer who...
BACKGROUNDHealth care utilization in older adults (age ≥60 years) with acute myeloid leukemia (AML) has not been well studied.
METHODSWe conducted a retrospective analysis of 330 consecutive older patients who were diagnosed with AML between May 1, 2005 and December 23, 2011, at 2 hospitals in Boston to examine their health care utilization and end‐of‐life care. Using multivariable logistic and linear...
BACKGROUNDA significant share of the cost of cancer care is concentrated in the end‐of‐life period. Although quality measures of aggressive treatment may guide optimal care during this timeframe, little is known about whether these metrics affect costs of care.
METHODSThis study used population data to identify a cohort of patients who died of cancer in Ontario, Canada (2005‐2009). Individuals were...
BACKGROUNDFamily caregivers (FCGs) experience significant deteriorations in quality of life while caring for patients with lung cancer. In this study, the authors tested the effectiveness of an interdisciplinary palliative care intervention for FCGs of patients diagnosed with stage I through IV nonsmall cell lung cancer.
METHODSFCGs who were identified by patients as their primary caregivers were...
BACKGROUNDPatients with advanced cancer often experience fatigue and other symptoms that negatively impact their quality of life. The current trial investigated the effect of melatonin on fatigue and other symptoms in patients with advanced cancer.
METHODSPatients who were aged ≥18 years, had a histologically confirmed stage IV cancer (TNM Classification), and who reported feeling significantly tired...
BACKGROUNDSeveral highly specific bedside physical signs associated with impending death within 3 days for patients with advanced cancer were recently identified. A diagnostic model for impending death based on these physical signs was developed and assessed.
METHODSSixty‐two physical signs were systematically documented every 12 hours from admission to death or discharge for 357 patients with advanced...
BACKGROUNDThe objective of this study was to clarify the communication preferences of patients with advanced cancer regarding discussions about ending anticancer treatment and transitioning to palliative care and to explore the variables associated with those preferences.
METHODSParticipants were 106 Japanese patients with cancer who had been informed at least 1 week earlier about the cessation of...
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