Journal of Pain and Symptom Management
Volume 39, Issue 4 , Pages 680-690 , April 2010

Do the Trajectories of Dyspnea Differ in Prevalence and Intensity By Diagnosis at the End of Life? A Consecutive Cohort Study

  • David C. Currow, BMed, MPH, FRACP

      Affiliations

    • Department of Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
    • Corresponding Author InformationAddress correspondence to: David C. Currow, BMed, MPH, FRACP, Flinders University, 700, Goodwood Road, Daw Park, South Australia 5041, Australia.
  • ,
  • Joanna Smith, BPsych

      Affiliations

    • Silver Chain Nursing Association, Perth, Western Australia, Australia
  • ,
  • Patricia M. Davidson, BA, MEd, PhD

      Affiliations

    • Curtin University, Sydney, New South Wales, Australia
  • ,
  • Phillip J. Newton, BN (Hons), PhD

      Affiliations

    • Curtin University, Sydney, New South Wales, Australia
  • ,
  • Meera R. Agar, MBBS (Hons), M Pall Care, FRACP, FAChPM

      Affiliations

    • Department of Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
    • Braeside Hospital, Prairiewood, New South Wales, Australia
  • ,
  • Amy P. Abernethy, MD

      Affiliations

    • Department of Palliative and Supportive Services, Flinders University, Bedford Park, South Australia, Australia
    • Duke Comprehensive Cancer Center, Duke University School of Medicine, Durham, North Carolina, USA

,Accepted 28 September 2009.

  • Image Result

    Percentage of people with no, mild, moderate, or high dyspnea scores in a consecutive cohort of people referred to a community palliative care service as death approaches (n=5,862).

    Percentage of people with no, mild, moderate, or high dyspnea scores in a consecutive cohort of people referred to a community palliative care service as death approaches (n=5,862).

  • Image Result

    Joinpoint regression model of mean Symptom Assessment Scale (SAS) score of breathlessness by cancer and noncancer diagnoses at the approach of death in a consecutive cohort of 5,862 community palliati

    Joinpoint regression model of mean Symptom Assessment Scale (SAS) score of breathlessness by cancer and noncancer diagnoses at the approach of death in a consecutive cohort of 5,862 community palliative care patients.

  • Image Result
    Changes in the mean intensity of breathlessness in five diagnostic groups as death approaches in a consecutive community cohort of people referred to palliative care (n=5,862).

    Changes in the mean intensity of breathlessness in five diagnostic groups as death approaches in a consecutive community cohort of people referred to palliative care (n=5,862).

PII: S0885-3924(10)00139-9

doi: 10.1016/j.jpainsymman.2009.09.017

Journal of Pain and Symptom Management
Volume 39, Issue 4 , Pages 680-690 , April 2010