Symptom burden and supportive care in patients with acute leukemia

Zimmermann, Camilla, Yuen, Dora, Mischitelle, Ashley, Minden, Mark D., Brandwein, Joseph M., Schimmer, Aaron, Gagliese, Lucia, Lo, Christopher, Rydall, Anne, and Rodin, Gary (2013) Symptom burden and supportive care in patients with acute leukemia. Leukemia Research, 37 (7). pp. 731-736.

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Abstract

We examined the symptoms and referral rates to specialized palliative care and psychosocial oncology services of patients with acute leukemia. The Memorial Symptom Assessment Scale (MSAS) was completed by 249 adult patients with acute leukemia. Patients reported a median of 9 physical and 2 psychological symptoms, and those with intense lack of energy, difficulty sleeping and pain were more likely to report intense worrying/sadness (P < 0.001). No patients with moderate-severe pain were referred for specialized symptom control and only 13% of those with severe worrying/sadness were referred to psychiatry/psychology within one month of the assessment. Patients in this population have a substantial symptom burden; further research is needed to determine the benefit of early referral to specialized supportive care services.

Item ID: 86482
Item Type: Article (Research - C1)
ISSN: 1873-5835
Copyright Information: © 2013 Elsevier Ltd. All rights reserved.
Date Deposited: 04 Aug 2025 22:46
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 30%
42 HEALTH SCIENCES > 4203 Health services and systems > 420316 Palliative care @ 30%
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified @ 40%
SEO Codes: 28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280121 Expanding knowledge in psychology @ 30%
20 HEALTH > 2004 Public health (excl. specific population health) > 200499 Public health (excl. specific population health) not elsewhere classified @ 30%
20 HEALTH > 2002 Evaluation of health and support services > 200202 Evaluation of health outcomes @ 40%
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