The effect of positive expiratory pressure (PEP) therapy on symptoms, quality of life and incidence of re-exacerbation in patients with acute exacerbations of chronic obstructive pulmonary disease: a multicentre, randomised controlled trial — Osadnik et al. — Thorax

We found no evidence that PEP therapy during AECOPD improves important short-term or long-term outcomes. There does not appear to be a routine role for PEP therapy in the management of such individuals.

via The effect of positive expiratory pressure (PEP) therapy on symptoms, quality of life and incidence of re-exacerbation in patients with acute exacerbations of chronic obstructive pulmonary disease: a multicentre, randomised controlled trial — Osadnik et al. — Thorax.

Long-acting bronchodilators improve Health Related Quality of Life in patients with COPD

The data coming from the review support the efficacy of long acting bronchodilators in improving HRQoL/HS of COPD patients. Further research evaluating HRQoL/HS as primary outcome and according to guidelines on Patient Reported Outcomes is needed.

via Long-acting bronchodilators improve Health Related Quality of Life in patients with COPD.

Identification of Symptom Clusters in Patients With Chronic Venous Leg Ulcers

Two symptom clusters were identified in this sample of patients with venous leg ulcers. Further research is needed to verify these symptom clusters and to evaluate their effect on patient outcomes.

via Identification of Symptom Clusters in Patients With Chronic Venous Leg Ulcers.

Symptom Management Strategies for Men with Early-Stage Prostate Cancer: Results from the Prostate Cancer Patient Education Program (PC PEP ) – Online First – Springer

Men report the least effectiveness in symptom management for sexual dysfunction after prostate cancer treatment. Including men’s experience with managing treatment side effects may be an important way to improve survivorship programs and make them more acceptable to men. More work is needed to find out why men frequently do nothing in response to symptoms when effective solutions exist and how providers can successfully engage such men.

via Symptom Management Strategies for Men with Early-Stage Prostate Cancer: Results from the Prostate Cancer Patient Education Program (PC PEP ) – Online First – Springer.

Symptom Management: An Expanded Role for Nurses in Educating and Supporting Patients

This is the first part of a three-part series spotlighting key issues and challenges for oncology nurses practicing today. Oncology Nursing News was honored to host a roundtable with faculty leaders from some of the top schools and colleges of nursing with oncology programs— many of which are members of our Strategic Alliance Partnership initiative—who were in Washington, DC, for the 2013 Annual Congress of the Oncology Nursing Society. Here, we feature panelists’ perspectives on the critical role played by oncology nursing professionals in helping patients with cancer to manage their symptoms and any treatment-related adverse events.

via Symptom Management: An Expanded Role for Nurses in Educating and Supporting Patients.

Depression, anxiety, and somatic symptoms in older cancer patients: a comparison across age groups – Cohen – 2013 – Psycho-Oncology – Wiley Online Library

Nonlinear relations exist between age and psychological symptoms, which is in line with the postponement of age-related health and functional decline in the modern era. These results suggest that the study of psychological reactions to cancer should examine differences between age groups among older cancer patients. Copyright © 2013 John Wiley & Sons, Ltd.

via Depression, anxiety, and somatic symptoms in older cancer patients: a comparison across age groups – Cohen – 2013 – Psycho-Oncology – Wiley Online Library.

The ability of informal primary caregivers to accurately report cancer patients’ difficulties – Libert – 2013 – Psycho-Oncology – Wiley Online Library

Family primary caregivers correctly reported approximately two thirds of physical and psychological patients’ difficulties; however, they had less accurate reports of patients’ social difficulties. Correct report rates increased the probability of false report rates. Healthcare professionals should carefully evaluate the accuracy of a primary informal caregiver’s report in regards to patient experiences. Copyright © 2013 John Wiley & Sons, Ltd.

via The ability of informal primary caregivers to accurately report cancer patients’ difficulties – Libert – 2013 – Psycho-Oncology – Wiley Online Library.

Patient-Reported Outcomes of Cirrhosis

Health care interventions are intended to increase longevity, prevent morbidity, and make patients feel better. The first 2 of these end points are relatively simple to measure. However, measuring how people are feeling is not as easy. Physiological or laboratory tests commonly are used for the direct measurement of the patients’ well-being, assuming that a strong link exists between the 2 parameters. However, when investigated empirically, the relation between physiological or clinical measures and patients’ symptoms and well being is, at best, modest and often highly variable.

via Patient-Reported Outcomes of Cirrhosis.

INCTR Palliative Care Handbook | Asia Pacific Hospice Palliative Care Network

INCTR Palliative Care Handbook | Asia Pacific Hospice Palliative Care Network.

Palonosetron and prednisolone for the prevention of nausea and emesis during fractionated radiotherapy and 5 cycles of concomitant weekly cisplatin—a phase II study – Online First – Springer

The present study demonstrates that an antiemetic prophylaxis consisting of palonosetron and prednisolone is insufficient for the prevention of nausea and vomiting induced by radiotherapy and weekly cisplatin in patients treated for gynecological cancer. The addition of a neurokinin-1 receptor antagonist should be investigated in a randomized, double-blind study in this setting.

via Palonosetron and prednisolone for the prevention of nausea and emesis during fractionated radiotherapy and 5 cycles of concomitant weekly cisplatin—a phase II study – Online First – Springer.