Edmonton symptom assessment scale: Italian validation in two palliative care settings View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-06-04

AUTHORS

Cecilia Moro, Cinzia Brunelli, Guido Miccinesi, Mauro Fallai, Piero Morino, Massimo Piazza, Roberto Labianca, Carla Ripamonti

ABSTRACT

In the palliative care setting, the Edmonton Symptom Assessment Scale (ESAS) was developed for use in daily symptom assessment of palliative care patients. ESAS considers the presence and severity of nine symptoms common in cancer patients: pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath plus an optional tenth symptom, which can be added by the patient. The aim of this study was to validate the Italian version of ESAS and to evaluate an easy quality of life monitoring system that uses a patient’s self-rating symptom assessment in two different palliative care settings: in-patients and home patients. Eighty-three in-patients and 158 home care patients were enrolled. In the latter group, the Italian validated version of the Symptom Distress Scale (SDS) was also administered at the admission of the patients. The two groups of patients have similar median survival, demographic and clinical characteristics, symptom prevalence and overall distress score at baseline. ESAS shows a good concurrent validity with respect to SDS. The correlation between the physical items of ESAS and SDS was shown to be higher than the correlation between the psychological items. The association of ESAS scores and performance status (PS) showed a trend: the higher the symptom score was, the worse was the PS level. Test–retest evaluation, applied in the in-patient group, showed good agreement for depression, well-being and overall distress and a moderate agreement for all the other items. In conclusion, ESAS can be considered a valid, reliable and feasible instrument for physical symptom assessment in routine “palliative care” clinical practice with a potentially different responsiveness in different situations or care settings. More... »

PAGES

30-37

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00520-005-0834-3

DOI

http://dx.doi.org/10.1007/s00520-005-0834-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1019293822

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15937688


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51 Italian version
52 PS levels
53 Symptom Assessment Scale
54 Symptom Distress Scale
55 admission
56 agreement
57 aim
58 anxiety
59 appetite
60 assessment
61 association
62 baseline
63 being
64 breath
65 cancer patients
66 care
67 care patients
68 care settings
69 characteristics
70 clinical characteristics
71 clinical practice
72 conclusion
73 concurrent validity
74 correlation
75 daily symptom assessment
76 depression
77 different palliative care settings
78 different responsiveness
79 different situations
80 distress
81 distress scores
82 drowsiness
83 evaluation
84 feasible instrument
85 good agreement
86 good concurrent validity
87 group
88 group of patients
89 home care patients
90 home patients
91 instrument
92 items
93 latter group
94 levels
95 life monitoring system
96 median survival
97 moderate agreement
98 monitoring system
99 nausea
100 overall distress
101 overall distress scores
102 pain
103 palliative care
104 palliative care patients
105 palliative care setting
106 patient group
107 patients
108 performance status
109 physical items
110 practice
111 presence
112 prevalence
113 psychological items
114 quality
115 respect
116 responsiveness
117 scale
118 scores
119 setting
120 severity
121 shortness
122 shortness of breath
123 similar median survival
124 situation
125 status
126 study
127 survival
128 symptom assessment
129 symptom prevalence
130 symptom scores
131 symptoms
132 system
133 test-retest evaluation
134 tiredness
135 trends
136 use
137 validation
138 validity
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