Navigation Links
Physical symptoms common, disabling among patients with cancer and pain or depression
Date:10/11/2010

Patients with cancer who experience pain or depression also have a high rate of physical symptoms, such as fatigue, dry mouth and nausea, according to a report in the October 11 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.

Having many physical, or somatic, symptoms is known to adversely affect patients in primary care settings and those with chronic medical conditions other than cancer, according to background information in the article. "Somatic symptoms account for more than half of all general medical visits, lack a definitive medical explanation one-third to half of the time and are frequently persistent," the authors write. "Physical and psychological factors seem to contribute to somatic symptom reporting, even in patients with chronic medical disorders. These symptoms are associated with substantial functional impairment, disability and health care use, even after controlling for medical and psychiatric comorbidity."

Kurt Kroenke, M.D., of the Richard Roudebush VA Medical Center, Indiana University, and Regenstrief Institute Inc., Indianapolis, and colleagues analyzed data from 405 patients with cancer who also had either pain or depression. Participants reported the presence and burden of 22 different somatic symptoms, along with the number of days of disability within the previous three-month period and health care use.

All patients in the study had at least one somatic symptom. More than half of the patients reported 15 of the 22 symptoms. The most common symptoms were feeling tired (97.5 percent), having difficulty sleeping (78.8 percent), pain in the limbs or joints (78 percent), back pain (74.8 percent) and difficulty remembering things (72.1 percent).

Participants reported an average of 16.9 disability days in the previous four weeks, including 5.7 days in bed and 11.2 days when they reduced their activities by 50 percent or more. Health care usage was high: 32 percent of patients reported three to five outpatient visits in the previous three months, 28 percent reported six to 10 visits and 26 percent reported more than 10 visits. More than one-third (38 percent) were hospitalized at least once and one-third visited the emergency department one or more times.

On a scale of zero to 44, with 44 being the worst, participants had an average somatic symptom burden score of 18.3. A higher score was associated with education, employment status, income and an emergency department or mental health visit in the previous three months but not with sex, race or marital status. For every five-unit increase in somatic symptom burden score, the probability of having at least 14 days of disability in the previous 28 days increased by 50 percent.

"This study strengthens the case for improving the recognition and treatment of somatic symptoms in patients with cancer," the authors conclude. "Given the strong association with disability and the high prevalence of many types of symptoms, recognizing and managing somatic symptoms may be important in improving quality of life and functional status regardless of type or phase of cancer."


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Physical symptoms prevalent no matter what stage of cancer including remission
2. Physical limitations take a significant toll in breast cancer survivors
3. Moving closer to outdoor recreation not a recipe for being more physically active
4. Physical limitations of breast cancer survivors
5. Childrens brain development is linked to physical fitness
6. Music on prescription could help treat emotional and physical pain
7. Up to 1 in 4 patients report more physical problems a year after surgery than before
8. Children have a negative impact on physical activity among individuals with heart disease
9. Concordia researcher leads study that finds kids reduce physical activity for heart patients
10. Adolescent cyberbullies and their victims may have physical, mental health problems
11. Teenage physical activity reduces risk of cognitive impairment in later life
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... 24, 2016 , ... Those who have experienced traumatic events may suffer from ... avenues, such as drug or alcohol abuse, as a coping mechanism. To avoid this ... coping following a traumatic event. , Trauma sufferers tend to feel a range of ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
(Date:6/24/2016)... ... ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys are ... for this recognition are considered among the top 2 percent of lawyers practicing within ... of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. Bloom, ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA is excited ... To Recovery® program to drive cancer patients to and from their cancer treatments. ... highest quality of life and ongoing independence. Getting to and from medical treatments ...
(Date:6/24/2016)... , ... June 24, 2016 , ... People across the ... Genome magazine’s Code Talker Award, an essay contest in which patients and their families ... to be presented at the 2016 National Society of Genetic Counselors (NSGC) Annual Education ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Tenn. , June 24, 2016  Arkis ... providing less invasive and more durable cerebrospinal fluid ... in funding.  The Series-A funding is led by ... Lighthouse Fund, and other private investors.  Arkis, new ... neurosurgical instrumentation and the market release of its ...
(Date:6/23/2016)... Research and Markets has announced ... Type (Organic Chemical (Sugar, Petrochemical, Glycerin), Inorganic Chemical), Functionality ... - Global Forecast to 2021" report to their ... global pharmaceutical excipients market is projected to reach USD ... in the forecast period 2016 to 2021. ...
(Date:6/23/2016)... ANGELES , June 23, 2016 ... CAPR ), a biotechnology company focused ... therapeutics, today announced that patient enrollment in its ... in Duchenne) has exceeded 50% of its 24-patient ... enrollment in the third quarter of 2016, and ...
Breaking Medicine Technology: