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Memorial symptom assessment scale.

Victor T Chang¹, Shirley S Hwang, Howard T Thaler

¹UMDNJ New Jersey Medical School, Section Hematology Oncology (111), VA New Jersey Healthcare System, 385 Tremont Avenue, East Orange, NJ 07018, USA. victor.chang@med.va.gov

Expert Review of Pharmacoeconomics & Outcomes Research

|October 8, 2009

Summary

This summary is machine-generated.

The Memorial Symptom Assessment Scale (MSAS) is a multidimensional tool that effectively measures symptom frequency, severity, and distress in patients with advanced illnesses. It has proven useful in various clinical applications and research settings.

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Area of Science:

Palliative Care
Symptom Management
Psychometrics

Background:

Patients with advanced illnesses frequently experience multiple symptoms, necessitating effective assessment tools.
Interest in palliative care and symptom control interventions is growing, increasing the demand for multidimensional symptom assessment instruments.
Existing instruments have been developed to address the need for comprehensive symptom evaluation in cancer patients.

Purpose of the Study:

To review the development and applications of the Memorial Symptom Assessment Scale (MSAS).
To highlight the multidimensional nature of the MSAS, encompassing 32 symptoms across frequency, severity, and distress.
To discuss the utility of various MSAS versions and their potential future roles in clinical research and practice.

Main Methods:

Review of the development and applications of the Memorial Symptom Assessment Scale.
Description of the MSAS's structure, including its 32 symptoms and three dimensions (frequency, severity, distress).
Mention of shorter versions (MSAS-SF, Condensed MSAS) and a pediatric version.

Main Results:

The MSAS includes summary subscales for physical distress, psychological distress, and a Global Distress Index.
The MSAS has demonstrated utility in describing symptom epidemiology, assessing symptom impact (pain, fatigue, spirituality), predicting survival, and in proxy assessments.
The MSAS has been applied in studies involving cancer, AIDS, and other advanced medical illness patients.

Conclusions:

The Memorial Symptom Assessment Scale is a valuable tool for assessing symptom burden in patients with advanced illnesses.
Future applications may include clinical trials, pharmacoeconomic analyses, defining symptom clusters, and developing symptom outcome measures.
Further research is needed to validate MSAS versions across diverse populations and applications to enhance patient care.