ABC1 - L. Fallowfield - Differencies in side effects assessment among doctors, nurses and patients

•

1 gostou•390 visualizações

European School of Oncology

Saúde e medicina

Differences in side-effect assessment between healthcare professionals and patients Lesley Fallowfield Brighton & Sussex Medical School

Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]

Patients and clinicians may have different values ,[object Object],[object Object],[object Object],[object Object]

Decisions patients face ,[object Object],[object Object],[object Object],[object Object]

Do we have the data patients need for optimal decision-making ? ,[object Object],[object Object],[object Object],[object Object]

Common Terminology Criteria for Adverse Events (CTCAE) ,[object Object],[object Object],[object Object],[object Object],[object Object]

PROs v. physician reports using CTC for AE (Basch et al, Lancet Onc, 2006) ,[object Object],[object Object],[object Object],[object Object]

Concordance - clinician recorded v PROs ,[object Object],[object Object],[object Object],[object Object]

Benefit/harms of hormone therapy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Concordance of Symptom Reports of Any Severity (Coombes, 2003) Symptoms % Prevalence CRF PRO Kappa 95% CI Hot flushes 49.8 73.5 0.73 ** .70 - .75 Fatigue 21.0 71.5 0.72 ** .41 - .47 Insomnia 17.9 69.4 0.45 * .42 - .48 Headaches 15.8 48.7 0.66 ** .63 - .69 Dizziness 9.5 32.1 0.72 ** .69 - .75 Vaginal bleeding 2.7 5.4 0.97 *** .96 - .98

What are the primary goals of MBC treatment ? ,[object Object],[object Object],[object Object],[object Object]

Nurses’ assessments of advanced cancer patients (Stromgren et al, 2001) ,[object Object],[object Object],[object Object],[object Object],Item NSR (%) pain 84 physical function 84 nausea 64 vomiting 58 anorexia 41 dyspnoea 46 fatigue 36 sleeplessness 0 poor QoL 0

Why are there differences ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Mais conteúdo relacionado

Mais procurados

Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...Informed Medical Decisions Foundation

Making a New Cancer Treatment DecisionShannon Watterson

Baseline Medication use in ADNInue2you

Journal club presentation @ Rxvichu!!RxVichuZ

Erectile Dysfunction and Risk Factors in Male Peruvian Hemodialysis Patientsasclepiuspdfs

Geriatric oncology 2019Marc Evans Abat

012012 v156 i2 cytisine increased smoking cessation in adultsGeorgi Daskalov

Immunotherapy - the promises and pitfallsSCGH ED CME

Race and Variations in Operative Treatment 10.22.09Leonard Davis Institute of Health Economics

Journal club vitamin c Yassin Alsaleh

Switching therapy in Multiple sclerosisDivya Shilpa

Journal Club - EMS - "Effect of adrenaline on survival in out-of-hospital car...Farooq Khan

The role of primary care in the management of crf patientsIvan De Paz Mejia

Blood Product Transfusion in Emergency Departments: a Case-Control Study of P...University of Michigan Department of Emergency Medicine

Final Journal Club PresentationAnna Schemel

Giải pháp cho người bị hóihieusach-kimnhung

HO-JC.NOWICKI- Azith v. Doxy in C.Trach InfDiana Nicole Nowicki, CPhT

Impact of Acgme Duty Hour Rules on Prolonged Length of Stay Among Medicare 4.7Leonard Davis Institute of Health Economics

ISPOR podium presentationsaurabhgaurav2000

Understanding clinical trialsMS Trust

Mais procurados (20)

Decisions about Medication Use and Cancer Screening Among Elderly Adults in t...

Making a New Cancer Treatment Decision

Baseline Medication use in ADNI

Journal club presentation @ Rxvichu!!

Erectile Dysfunction and Risk Factors in Male Peruvian Hemodialysis Patients

Geriatric oncology 2019

012012 v156 i2 cytisine increased smoking cessation in adults

Immunotherapy - the promises and pitfalls

Race and Variations in Operative Treatment 10.22.09

Journal club vitamin c

Switching therapy in Multiple sclerosis

Journal Club - EMS - "Effect of adrenaline on survival in out-of-hospital car...

The role of primary care in the management of crf patients

Blood Product Transfusion in Emergency Departments: a Case-Control Study of P...

Final Journal Club Presentation

Giải pháp cho người bị hói

HO-JC.NOWICKI- Azith v. Doxy in C.Trach Inf

Impact of Acgme Duty Hour Rules on Prolonged Length of Stay Among Medicare 4.7

ISPOR podium presentation

Understanding clinical trials

Semelhante a ABC1 - L. Fallowfield - Differencies in side effects assessment among doctors, nurses and patients

Nejm journal watch practice changing articles 2014Jaime dehais

Clinical Research Methodologydrmomusa

MON 2011 - Slide 28 - S. Faithfull - Spotlight session - Consequences of canc...European School of Oncology

ERAS and regional anesthesia at PGA 2015Colin McCartney

BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer European School of Oncology

Systematic reviews of adverse effects and other topics not – yet – covered by...Cochrane.Collaboration

MON 2011 - Slide 27 - S. Faithfull - Spotlight session - SurvivorshipEuropean School of Oncology

Whistler Anesthesia Symposium Regional Anesthesia Outcomes 2017Colin McCartney

Randomised Controlled Trialsfondas vakalis

Asra defining value may 2015Colin McCartney

Evidence to Decision tables – 11th CE&B's research day presentationCarlos Cuello

Balancing Risks and Benefits of Regional AnaesthesiaColin McCartney

MCC 2011 - Slide 22European School of Oncology

U_of_Kansas_ACOVE_PerioperativeCareGeriatrics.pptrasulataswain1

How to have quality of life in Advanced ovarian malignancyRajesh Gajbhiye

Simbarashe Takuva, AIDS 2010. Durability of first line antiretroviral therapy...Simba Takuva

ARE WE USING THE RIGHT OUTCOME MEASURE TO ASCERTAIN PATIENT BENEFIT FROM DRUG...inemet

Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchellepicyclops

Age Bias in Cancer Carebkling

State of the evidence on chronic opioid therapy and risk mitigation Group Health Cooperative

Semelhante a ABC1 - L. Fallowfield - Differencies in side effects assessment among doctors, nurses and patients (20)

Nejm journal watch practice changing articles 2014

Clinical Research Methodology

MON 2011 - Slide 28 - S. Faithfull - Spotlight session - Consequences of canc...

ERAS and regional anesthesia at PGA 2015

BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer

Systematic reviews of adverse effects and other topics not – yet – covered by...

MON 2011 - Slide 27 - S. Faithfull - Spotlight session - Survivorship

Whistler Anesthesia Symposium Regional Anesthesia Outcomes 2017

Randomised Controlled Trials

Asra defining value may 2015

Evidence to Decision tables – 11th CE&B's research day presentation

Balancing Risks and Benefits of Regional Anaesthesia

MCC 2011 - Slide 22

U_of_Kansas_ACOVE_PerioperativeCareGeriatrics.ppt

How to have quality of life in Advanced ovarian malignancy

Simbarashe Takuva, AIDS 2010. Durability of first line antiretroviral therapy...

ARE WE USING THE RIGHT OUTCOME MEASURE TO ASCERTAIN PATIENT BENEFIT FROM DRUG...

Referral For Invasive Procedures For Cancer Pain Dr Alison Mitchell

Age Bias in Cancer Care

State of the evidence on chronic opioid therapy and risk mitigation

Mais de European School of Oncology

ABC1 - X. Zhang - Metastasis seed pre-selection driven by the microenvironmen...European School of Oncology

G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...European School of Oncology

A. Shamseddine - Prostate and renal cancer - State of the art and update on s...European School of Oncology

W. Hassen - Bladder cancer - GuidelinesEuropean School of Oncology

A. Stathis - New drugs in the treatment of lymphomasEuropean School of Oncology

H. Khaled - Bladder cancer - State of the artEuropean School of Oncology

A. Stathis - Lymphomas - New drugs in the treatment of lymphomasEuropean School of Oncology

1 azimEuropean School of Oncology

H. Azim - Lymphomas - State of the artEuropean School of Oncology

S. Khleif - Ovarian cancer - General lecture on vaccineEuropean School of Oncology

A. Hassan - Ovarian cancer - Guidelines and clinical case presentation (2-3 c...European School of Oncology

J.B. Vermorken - Ovarian cancer - State of the artEuropean School of Oncology

A. Hassan - Cervical cancer - Guidelines and clinical case presentation (2-3 ...European School of Oncology

V. Kesic - Cervical cancer - State of the art European School of Oncology

T. Cufer - Breast cancer - State of the art for advanced breast cancer European School of Oncology

N. El Saghir - Breast cancer - State of the art for early breast cancerEuropean School of Oncology

S. Cascinu - Liver/Hepatobiliary - State of the artEuropean School of Oncology

S. Cascinu - Colorectal cancer - Guidelines and clinical case presentation (2...European School of Oncology

G. Pentheroudakis - Colorectal cancer - State of the artEuropean School of Oncology

A. Tfayli - Head and neck - Guidelines and clinical case presentation (2-3 ca...European School of Oncology

Mais de European School of Oncology (20)

ABC1 - X. Zhang - Metastasis seed pre-selection driven by the microenvironmen...

G. Ceresoli - Prostate and renal cancer - State of the art and update on syst...

A. Shamseddine - Prostate and renal cancer - State of the art and update on s...

W. Hassen - Bladder cancer - Guidelines

A. Stathis - New drugs in the treatment of lymphomas

H. Khaled - Bladder cancer - State of the art

A. Stathis - Lymphomas - New drugs in the treatment of lymphomas

1 azim

H. Azim - Lymphomas - State of the art

S. Khleif - Ovarian cancer - General lecture on vaccine

A. Hassan - Ovarian cancer - Guidelines and clinical case presentation (2-3 c...

J.B. Vermorken - Ovarian cancer - State of the art

A. Hassan - Cervical cancer - Guidelines and clinical case presentation (2-3 ...

V. Kesic - Cervical cancer - State of the art

T. Cufer - Breast cancer - State of the art for advanced breast cancer

N. El Saghir - Breast cancer - State of the art for early breast cancer

S. Cascinu - Liver/Hepatobiliary - State of the art

S. Cascinu - Colorectal cancer - Guidelines and clinical case presentation (2...

G. Pentheroudakis - Colorectal cancer - State of the art

A. Tfayli - Head and neck - Guidelines and clinical case presentation (2-3 ca...

Último

Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7

Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7

Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn

Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4

Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7

VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7

Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7

Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts

Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7

call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar

Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7

Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7

VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4

Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7

Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7

High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha

Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7

Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7

Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts

Noida Sector 135 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few C...rajnisinghkjn