Related Experiment Videos
Effects of a symptom control intervention on utilization of health care services among cancer patients
Margot E Kurtz1, J C Kurtz, Charles W Given
1Department of Family and Community Medicine, Michigan State University, East Lansing, MI 48824, USA. kurtzm@msu.edu
Background:
In this study we investigated the effects of a clinical nursing symptom control intervention on utilization of physician, hospital and emergency room services.
Material/Methods:
Two hundred twenty-two patients currently undergoing chemotherapy were recruited for the study, and were randomized into either the 10-contact, 20-week experimental intervention group (110), where the intervention focused on assisting the patient in managing their symptoms, or to a conventional care control group (112).
Results:
A random effects regression model revealed that patients in the intervention group reported fewer emergency room visits than patients in the control group (p=0.050). Greater symptom severity and more comorbid conditions were also predictive of more emergency room visits. The intervention was effective in reducing the number of hospital visits for the subgroup of patients who at baseline reported above average symptom severity (p=0.023).
Conclusions:
These findings suggest that a nursing intervention focusing on educating patients regarding specific strategies to be applied for controlling symptoms may be worthwhile, as the patients may regain some control in managing their symptoms and thus ultimately require fewer emergency room services and hospital visits. Such a straightforward approach may empower patients, enhance their quality of life and reduce overall costs of cancer care.
Related Concept Videos
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Tumor Immunotherapy
Cancer Survival Analysis