2026-04-18T04:10:15Zhttps://recercat.cat/oai/request

oai:recercat.cat:20.500.12328/51882026-01-28T13:12:33Zcom_2072_67741col_2072_484352

00925njm 22002777a 4500 dc Porta-Sales, Josep author Guerrero Torrelles, Maria author Moreno-Alonso, Deborah author Sarrà-Escarré, Josep author Clapés-Puig, Victòria author Trelis-Navarro, Jordi author Sureda, Anna author Fernández de Sevilla-Ribosa, Alberto author 2017-11 Context. Evidence for the benefits of early palliative care (EPC) in patients with solid tumors is strong, but EPC has received scant attention in hematologic malignancies. Objective. To assess the benefits of outpatient-based EPC for symptom control in patients with multiple myeloma. Methods. Retrospective study of patients attending the Multiple Myeloma Palliative Care Clinic at our hospital in the year 2013 (February 1eDecember 31). The following symptoms were assessed at baseline and at three follow-up consultations using a Numerical Visual Scale (0 ¼ no symptoms; 10 ¼ worst possible): pain, anorexia, constipation, insomnia, nausea/ vomiting, dyspnea, anxiety, and sadness. Physical and emotional symptom burden scores were calculated. Pain interference with general activity, sleep, and mood was also evaluated. Results. About 67 patients were included. The proportion of patients reporting moderate-to-severe pain (Numerical Visual Scale $5) decreased significantly from baseline to the final follow-up: worst pain decreased from 57% to 18% (P < 0.0001), whereas average pain fell from 24% to 2% (P < 0.0001). The percentage of patients reporting no pain interference increased significantly from baseline: general activity (52% vs. 82%; P ¼ 0.0001), sleep (73% vs. 91%; P ¼ 0.01), and mood (52% vs. 87.5%; P ¼ 0.0001). Physical and emotional symptom burden also improved, with significantly fewer patients reporting depression (13% vs. 5%; P ¼ 0.001). Most patients (86.6%) were alive and still attending the Multiple Myeloma Palliative Care Clinic at study end. Conclusions. These findings indicate that EPC is feasible in patients with multiple myeloma. Pain and other symptoms were well controlled. J Pain Symptom Manage 2017;54:692e700. 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved. Porta-sales, Josep; Guerrero Torrelles, Maria; Moreno-Alonso, Deborah[et al.]. Is Early Palliative Care Feasible in Patients With Multiple Myeloma? Journal of Pain and Symptom Management. 2017, 54(5), páginas 692-670. Disponible en <https://pubmed.ncbi.nlm.nih.gov/28807703/>. Fecha de acceso: 27 ene. 2026. DOI: 10.1016/j.jpainsymman.2017.04.012 0885-3924 http://hdl.handle.net/20.500.12328/5188 http://dx.doi.org/10.1016/j.jpainsymman.2017.04.012 Palliative care Palliative medicine Hematology Multiple myeloma Pain Neoplasms Hematología Mieloma múltiple Dolor Neoplasias Cuidados paliativos Medicina paliativa Cures pal·liatives Medicina pal·liativa Hematologia Mieloma múltiple Dolor Neoplàsies Is Early Palliative Care Feasible in Patients With Multiple Myeloma?