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A comparison of symptoms in older hospitalised cancer and non-cancer patients in need of palliative care: a secondary analysis of two cross-sectional studies
University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
University Centre for Nursing and Midwifery, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
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2018 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 18, no 1, article id 40Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Evidence on the differences in symptom patterns between older palliative cancer and non-cancer patients is lacking. The purpose of the study was to determine the differences in symptoms between older hospitalised palliative cancer and non-cancer patients.

METHODS: A secondary analysis of two multi-centre cross-sectional studies was performed. A validated instrument was used to assess the frequency and intensity of 40 symptoms in older hospitalised palliative cancer patients (n = 100) and older palliative non-cancer patients (n = 100). The data were collected between March 2013 and June 2015. Differences between groups were measured statistically.

RESULTS: Overall, similarities in symptom patterns were observed between cancer and non-cancer patients. Some minor differences were detected between the groups. Non-cancer patients experienced significantly more physical symptoms and functional dependence than cancer patients. Patients with cancer experienced higher levels of frequency and intensity of psychological symptoms compared to non-cancer patients.

CONCLUSIONS: Healthcare professionals should be aware of the high occurrence of symptoms in both cancer and non-cancer patients, and they should be educated about the systematic assessment of symptoms in multiple domains by accounting for the occurrence of generic symptoms and disease-specific symptoms.

Place, publisher, year, edition, pages
BioMed Central, 2018. Vol. 18, no 1, article id 40
Keywords [en]
Aged, Cancer, Geriatric, Non-cancer, Palliative care, Symptoms
National Category
Nursing Geriatrics
Identifiers
URN: urn:nbn:se:oru:diva-73169DOI: 10.1186/s12877-018-0721-7ISI: 000424145200001PubMedID: 29402216Scopus ID: 2-s2.0-85041562888OAI: oai:DiVA.org:oru-73169DiVA, id: diva2:1296490
Available from: 2019-03-15 Created: 2019-03-15 Last updated: 2019-06-18Bibliographically approved

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Beeckman, Dimitri

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