Assessment of Palliative Care in Lung Cancer in Turkey

BÜLBÜL, YILMAZ; ÖZLÜ, TEVFİK; ARINÇ, S; Ozyurek, B. A.; Günbatar, Hülya; ŞENTÜRK, A; BAHADIR, A; ÖZÇELİK, Memetali; YILMAZ, U; Akbay, M. O.; Sağlam, Leyla; Kilic, T.; Kirkil, G.; Ozcelik, N.; TATAR, D; Baris, S. A.; Yavsan, D. M.; Sen, H. S.; Berk, S.; Acat, M.; Cakmak, G.; Yumuk, P. F.; Intepe, Y. S.; Toru, U.; Ayik, S. O.; Basyigit, I.; Ozkurt, S.; Mutlu, L. C.; Yasar, Z. A.; ESME, H; Erol, M. M.; ORUÇ, O; ERDOĞAN, YY; Asker, S.; ULAŞ, A; EROL, S; Kerget, Buğra; Erbaycu, A. E.; Teke, T.; Besiroglu, M.; Can, H.; Dalli, A.; Talay, F.

doi:10.1159/000452801

Makale Tam Makale Uluslararası 2017

Assessment of Palliative Care in Lung Cancer in Turkey

YILMAZ BÜLBÜL, TEVFİK ÖZLÜ, S ARINÇ, B. A. Ozyurek, Hülya Günbatar, A ŞENTÜRK, A BAHADIR, Memetali ÖZÇELİK, U YILMAZ, M. O. Akbay, Leyla Sağlam, T. Kilic, G. Kirkil, N. Ozcelik, D TATAR, S. A. Baris, D. M. Yavsan, H. S. Sen, S. Berk, M. Acat, G. Cakmak, P. F. Yumuk, Y. S. Intepe, U. Toru, S. O. Ayik, I. Basyigit, S. Ozkurt, L. C. Mutlu, Z. A. Yasar, H ESME, M. M. Erol, O ORUÇ, YY ERDOĞAN, S. Asker, A ULAŞ, S EROL, Buğra Kerget, A. E. Erbaycu, T. Teke, M. Besiroglu, H. Can, A. Dalli, F. Talay

MEDICAL PRINCIPLES AND PRACTICE Cilt 26 · Sayı 1 · ss. 50–56 · 01.01.2017

DOI ile aç

Özet

Objective: To investigate the symptoms of lung cancer in Turkey and to evaluate approaches to alleviate these symptoms. Subjects and Methods: This study included 1,245 lung cancer patients from 26 centers in Turkey. Demographic characteristics as well as information regarding the disease and treatments were obtained from medical records and patient interviews. Symptoms were evaluated using the Edmonton Symptom Assessment Scale (ESAS) and were graded on a scale between 0 and 10 points. Data were compared using the. 2, Student t, and Mann-Whitney U tests. Potential predictors of symptoms were analyzed using logistic regression analysis. Results: The most common symptom was tiredness (n = 1,002; 82.1%), followed by dyspnea (n = 845; 69.3%), appetite loss (n = 801; 65.7%), pain (n = 798; 65.4%), drowsiness (n = 742; 60.8%), anxiety (n = 704; 57.7%), depression (n = 623; 51.1%), and nausea (n = 557; 45.5%). Of the 1,245 patients, 590 (48.4%) had difficulty in initiating or maintaining sleep. The symptoms were more severe in stages III and IV. Logistic regression analysis indicated a clear association between demographic characteristics and symptom distress, as well as between symptom distress (except nausea) and well-being. Overall, 804 (65.4%) patients used analgesics, 630 (51.5%) received treatment for dyspnea, 242 (19.8%) used enteral/parenteral nutrition, 132 (10.8%) used appetite stimulants, and 129 (10.6%) used anxiolytics/antidepressants. Of the 799 patients who received analgesics, 173 (21.7%) reported that their symptoms were under control, and also those on other various treatment modalities (dyspnea: 78/627 [12.4%], appetite stimulant: 25/132 [18.9%], and anxiolytics/antidepressants: 25/129 [19.4%]) reported that their symptoms were controlled. Conclusion: In this study, the symptoms progressed and became more severe in the advanced stages of lung cancer, and palliative treatment was insufficient in most of the patients in Turkey. (C) 2016 S. Karger AG, Basel

Anahtar kelimeler

SYMPTOMS PAIN PREVALENCE quality of life IMPACT treatment LUNG-CANCER chemotherapy Palliation Palliative treatment SLEEP DISTURBANCES SYMPTOM EXPERIENCE SUPPORTIVE CARE

Sürdürülebilir Kalkınma Amaçları

SKA 3: Sağlıklı Bireyler

Atıf için künye

BÜLBÜL, Y., ÖZLÜ, T., ARINÇ, S., Ozyurek, B. A., Günbatar, H., ŞENTÜRK, A., BAHADIR, A., ÖZÇELİK, M., YILMAZ, U., Akbay, M. O., Sağlam, L., Kilic, T., Kirkil, G., Ozcelik, N., TATAR, D., Baris, S. A., Yavsan, D. M., Sen, H. S., Berk, S., … Talay, F. (2017). Assessment of Palliative Care in Lung Cancer in Turkey. MEDICAL PRINCIPLES AND PRACTICE, 26(1), 50–56. https://doi.org/10.1159/000452801

BibTeX

@article{bulbul2017-226951,
  author = {BÜLBÜL, YILMAZ and ÖZLÜ, TEVFİK and ARINÇ, S and Ozyurek, B. A. and Günbatar, Hülya and ŞENTÜRK, A and BAHADIR, A and ÖZÇELİK, Memetali and YILMAZ, U and Akbay, M. O. and Sağlam, Leyla and Kilic, T. and Kirkil, G. and Ozcelik, N. and TATAR, D and Baris, S. A. and Yavsan, D. M. and Sen, H. S. and Berk, S. and Acat, M. and Cakmak, G. and Yumuk, P. F. and Intepe, Y. S. and Toru, U. and Ayik, S. O. and Basyigit, I. and Ozkurt, S. and Mutlu, L. C. and Yasar, Z. A. and ESME, H and Erol, M. M. and ORUÇ, O and ERDOĞAN, YY and Asker, S. and ULAŞ, A and EROL, S and Kerget, Buğra and Erbaycu, A. E. and Teke, T. and Besiroglu, M. and Can, H. and Dalli, A. and Talay, F.},
  title = {Assessment of Palliative Care in Lung Cancer in Turkey},
  journal = {MEDICAL PRINCIPLES AND PRACTICE},
  year = {2017},
  volume = {26},
  number = {1},
  pages = {50--56},
  issn = {1011-7571},
  doi = {10.1159/000452801},
  url = {https://akademik.atauni.edu.tr/yayinlar/226951-assessment-of-palliative-care-in-lung-cancer-in-turkey}
}