PMID- 21510771
OWN - NLM
STAT- MEDLINE
DCOM- 20111108
LR  - 20220330
IS  - 1557-7740 (Electronic)
IS  - 1557-7740 (Linking)
VI  - 14
IP  - 6
DP  - 2011 Jun
TI  - Symptoms, comorbidities, and health care in advanced chronic obstructive 
      pulmonary disease or chronic heart failure.
PG  - 735-43
LID - 10.1089/jpm.2010.0479 [doi]
AB  - BACKGROUND: Patients with advanced chronic obstructive pulmonary disease (COPD) 
      or chronic heart failure (CHF) may experience significant symptom distress. For 
      development of palliative care programs that adequately address symptoms of 
      patients with COPD or CHF, it is necessary to know severity of symptom distress 
      and to gain insight in comorbidities and current provision of health care. 
      Objective of the present cross-sectional observational study was to assess 
      severity of symptoms, presence of comorbidities, and current provision of health 
      care in outpatients with advanced COPD or CHF. METHODS: A total of 105 
      outpatients with clinically stable but advanced COPD (Global initiative for 
      chronic Obstructive Lung Disease [GOLD] stage III or IV) and 80 patients with 
      advanced CHF (New York Heart Association [NYHA] class III or IV) were assessed 
      for demographics, clinical characteristics, self-reported comorbidities, and 
      severity of symptoms using visual analogue scales. In addition, current health 
      care and symptom-related interventions have been assessed. RESULTS: Comorbidities 
      were reported by 96.3% of the CHF patients and 61.9% of the COPD patients. 
      Patients suffered from multiple symptoms, like dyspnea, fatigue, muscle weakness, 
      coughing, low mood, sleeplessness, and frequent micturition. For most symptoms, 
      only the minority of patients had received symptom-related treatment. Involvement 
      of allied health care professionals was low. The majority of COPD and CHF 
      patients had received home adaptation and medical aids. CONCLUSIONS: Patients 
      with advanced COPD or CHF experience comorbidities and suffer from multiple 
      symptoms, which are often under treated. Further development and implementation 
      of palliative care programs, consisting of regular assessment of the patients' 
      comorbidities and symptoms as well as the provision of patient-tailored 
      interventions is needed.
FAU - Janssen, Daisy J A
AU  - Janssen DJ
AD  - Program Development Centre, CIRO+, Centre of Expertise for Chronic Organ Failure, 
      Horn, The Netherlands. daisyjanssen@proteion.nl
FAU - Spruit, Martijn A
AU  - Spruit MA
FAU - Uszko-Lencer, Nicole H
AU  - Uszko-Lencer NH
FAU - Schols, Jos M G A
AU  - Schols JM
FAU - Wouters, Emiel F M
AU  - Wouters EF
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110421
PL  - United States
TA  - J Palliat Med
JT  - Journal of palliative medicine
JID - 9808462
SB  - IM
MH  - Aged
MH  - *Comorbidity
MH  - Cross-Sectional Studies
MH  - Female
MH  - Heart Failure/epidemiology/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Netherlands/epidemiology
MH  - Pulmonary Disease, Chronic Obstructive/epidemiology/*physiopathology
EDAT- 2011/04/23 06:00
MHDA- 2011/11/09 06:00
CRDT- 2011/04/23 06:00
PHST- 2011/04/23 06:00 [entrez]
PHST- 2011/04/23 06:00 [pubmed]
PHST- 2011/11/09 06:00 [medline]
AID - 10.1089/jpm.2010.0479 [doi]
PST - ppublish
SO  - J Palliat Med. 2011 Jun;14(6):735-43. doi: 10.1089/jpm.2010.0479. Epub 2011 Apr 
      21.