Treatment type and symptom severity among oncology patients by self-report.
Oncology patients receiving chemotherapy (n=109) and radiation therapy RT (n=161) reported symptom concerns and severity on the 25-item therapy-related symptom checklist (TRSC). Secondary analysis of the self-reports of the two treatment groups was done using the Mann-Whitney U Test. Thirteen symptoms differed significantly between the two groups. RT patients reported significantly greater severity of five symptoms (p<0.05) during therapy. Chemotherapy patients reported significantly greater severity of eight different symptoms. The other 14 items showed a heterogeneous pattern of self-reported patient symptom concerns. The TRSC appears to be a clinically useful self-report checklist that captures the more important symptom concerns of both RT and chemotherapy patients. Earlier efforts to develop this checklist are reviewed briefly.
University of Kansas School of Nursing, 3901 Rainbow Blvd., Kansas City, KS 66160-7052, USA. pwilliam@kumc.edu
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D000970:Antineoplastic Agents / Q000009:adverse effects*; D001294:Attitude to Health; D004417:Dyspnea / Q000145:classification / Q000175:diagnosis* / Q000209:etiology; D005163:Factor Analysis, Statistical; D005221:Fatigue / Q000145:classification / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000145:classification / Q000175:diagnosis* / Q000209:etiology; D009369:Neoplasms / Q000150:complications* / Q000523:psychology* / Q000628:therapy; D009730:Nursing Assessment / Q000379:methods* / Q000592:standards*; D015403:Nursing Evaluation Research; D011878:Radiotherapy / Q000009:adverse effects*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires / Q000592:standards*; D014839:Vomiting / Q000145:classification / Q000175:diagnosis* / Q000209:etiology
D000970:Antineoplastic Agents