Consistency of Symptom Clusters in Advanced Cancer

作者: Jordanka Kirkova , Aynur Aktas , Declan Walsh , Lisa Rybicki , Mellar P. Davis

DOI: 10.1177/1049909110369869

关键词:

摘要: Background: The reproducibility of symptom clusters (SCs) in different populations would support the validity cluster concept. Ideal approaches to identification are unknown. presence a sentinel (most prevalent) may reduce number symptoms comprehensive assessment tool. primary purpose was assess consistency SCs between 2 independent data sets. A secondary aim evaluate whether use might abbreviate but retain acceptable accuracy. Methods: An agglomerative hierarchical analysis 922 patients with advanced cancer identified 7 SCs. We conducted same on an additional 181 consistency. most prevalent within each defined as ‘‘sentinel’’ symptom. Positive predictive value (PPV) and negative (NPV) were calculated ability predict other cluster. Results: Similar clust...

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