Universität zu Köln

Tewes, Mitra, Baumann, Freerk, Teufel, Martin and Ostgathe, Christoph (2021). Symptoms During Outpatient Cancer Treatment and Options for their Management. Dtsch. Arztebl. Int., 118 (17). S. 291 - 302. COLOGNE: DEUTSCHER AERZTE-VERLAG GMBH. ISSN 1866-0452

Full text not available from this repository.

Abstract

Background: Cancer patients account for a large segment of the German healthcare system, with a 5-year prevalence of around 1.7 million persons. Advances in oncological treatment, now frequently performed on an outpatient basis, are granting many of these individuals a longer life span. At the same time, cancer patients often suffer disease-related symptoms and adverse effects from their tumor treatment, which may strongly impair their quality of life despite the improved techniques for management of side effects. Methods: This review is based on a selective literature search of the PubMed and Cochrane Library databases carried out in December 2019 and January 2020. Special attention was paid to guidelines, expert opinions, and recommendations from professional societies. Results: Alongside decreased well-being, cancer patients often suffer from fatigue (70-100%), loss of appetite (6-53%), pain (30-80 %), and dyspnea (10-70%). The prevalence and severity of the symptoms varies depending on the tumor entity and the patients sex. A meta-analysis showed that besides causal treatment, physical activity achieves moderately strong effects in tumor-associated fatigue syndrome (Cohen's d = 0.30 [0.25; 0.36]). The WHO recommends early use of opioids in tumor-associated pain. A meta-analysis of randomized trials described symptom relief by means of opioids also in dyspnea (standardized mean difference: similar to 0.32 [similar to 0.53; similar to 0.10]). Increasingly, guidelines are recommending regular palliative medical symptom screening. Conclusion: Regular documentation of symptoms in outpatients offers the opportunity for targeted management of symptoms during treatment with the involvement of various disciplines such as palliative medicine, exercise therapy. and psychotherapy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Tewes, Mitra UNSPECIFIED UNSPECIFIED UNSPECIFIED Baumann, Freerk UNSPECIFIED UNSPECIFIED UNSPECIFIED Teufel, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Ostgathe, Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-588734
DOI:	10.3238/arztebl.m2021.0028
Journal or Publication Title:	Dtsch. Arztebl. Int.
Volume:	118
Number:	17
Page Range:	S. 291 - 302
Date:	2021
Publisher:	DEUTSCHER AERZTE-VERLAG GMBH
Place of Publication:	COLOGNE
ISSN:	1866-0452
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EATING-RELATED DISTRESS; PALLIATIVE CARE; PERFORMANCE STATUS; AMERICAN SOCIETY; PAIN; PREVALENCE; INTEGRATION; GUIDELINES; VALIDITY; FATIGUE Multiple languages Medicine, General & Internal Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58873