2.50
Hdl Handle:
http://hdl.handle.net/10755/165413
Category:
Abstract
Type:
Presentation
Title:
Identifying Symptoms That Cluster in Women With Ovarian Cancer
Author(s):
Buhr, Beverly Mae; Pe-Romashko, K.; Ward, S.; Donovan, H.; Gilbertson-White, S.; Murphy-Ende, K.
Author Details:
Beverly Mae Buhr, University Medical Center, Madison, Wisconsin, USA, email: bmbuhr@wisc.edu; K. Pe-Romashko; S. Ward; H. Donovan; S. Gilbertson-White; K. Murphy-Ende
Abstract:
BACKGROUND: Identifying symptoms that co-occur (cluster) has been established as a top priority by NIH and ONS. This is an important area of research for women with ovarian cancer, because they tend to experience multiple concurrent symptoms. The purpose of this secondary analysis was to identify commonly co-occurring symptoms (symptoms that cluster) in a sample of women (n=258) with active ovarian cancer. METHOD: Data are from a larger mailed survey study (N=723) of cognitive representations of symptoms among members of the National Ovarian Cancer Coalition. The MD Anderson Symptom inventory, modified and pre-tested for ovarian cancer, was used to assess symptom severity and occurrence. Participants rated the severity of each of 22 symptoms during the past week on a scale of 0 (did not have the symptom) to 10 (as bad as I can imagine). They were then asked to identify the 3 symptoms they noticed most. RESULTS: Women reported a mean (SD) of 12.05 (4.75) concurrent symptoms. Fatigue, bowel disturbance, sleep disturbance, and memory problems were the most frequently reported symptoms, and had the highest mean severity scores. However, when women were asked to identify the three symptoms they “noticed most” in the past week, fatigue and bowel disturbance remained the most frequently cited symptoms followed by pain, numbness/tingling, and sleep disturbance. Memory problems were infrequently cited. In order to identify patterns of co-occurring symptoms, each of the frequently occurring symptoms were considered, in turn, as the “primary symptom”. Then given the occurrence of that symptom, the likelihoods that other symptoms also occurred were determined. Fatigue, bowel disturbance, sleep disturbance, and memory problems behaved as a cluster. That is, given the presence of any one of those 4 symptoms, each one of the other symptoms also occurred in at least 75% of women. CONCLUSIONS AND IMPLICATIONS: Knowing that fatigue, bowel disturbance, sleep disturbance and memory problems tend to co-occur at high frequencies in women with ovarian cancer could help nurses assess symptoms and guide patient education in symptom management. Implications for future research will also be discussed.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2003
Conference Name:
28th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Denver, Colorado, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleIdentifying Symptoms That Cluster in Women With Ovarian Canceren_GB
dc.contributor.authorBuhr, Beverly Maeen_US
dc.contributor.authorPe-Romashko, K.en_US
dc.contributor.authorWard, S.en_US
dc.contributor.authorDonovan, H.en_US
dc.contributor.authorGilbertson-White, S.en_US
dc.contributor.authorMurphy-Ende, K.en_US
dc.author.detailsBeverly Mae Buhr, University Medical Center, Madison, Wisconsin, USA, email: bmbuhr@wisc.edu; K. Pe-Romashko; S. Ward; H. Donovan; S. Gilbertson-White; K. Murphy-Endeen_US
dc.identifier.urihttp://hdl.handle.net/10755/165413-
dc.description.abstractBACKGROUND: Identifying symptoms that co-occur (cluster) has been established as a top priority by NIH and ONS. This is an important area of research for women with ovarian cancer, because they tend to experience multiple concurrent symptoms. The purpose of this secondary analysis was to identify commonly co-occurring symptoms (symptoms that cluster) in a sample of women (n=258) with active ovarian cancer. METHOD: Data are from a larger mailed survey study (N=723) of cognitive representations of symptoms among members of the National Ovarian Cancer Coalition. The MD Anderson Symptom inventory, modified and pre-tested for ovarian cancer, was used to assess symptom severity and occurrence. Participants rated the severity of each of 22 symptoms during the past week on a scale of 0 (did not have the symptom) to 10 (as bad as I can imagine). They were then asked to identify the 3 symptoms they noticed most. RESULTS: Women reported a mean (SD) of 12.05 (4.75) concurrent symptoms. Fatigue, bowel disturbance, sleep disturbance, and memory problems were the most frequently reported symptoms, and had the highest mean severity scores. However, when women were asked to identify the three symptoms they “noticed most” in the past week, fatigue and bowel disturbance remained the most frequently cited symptoms followed by pain, numbness/tingling, and sleep disturbance. Memory problems were infrequently cited. In order to identify patterns of co-occurring symptoms, each of the frequently occurring symptoms were considered, in turn, as the “primary symptom”. Then given the occurrence of that symptom, the likelihoods that other symptoms also occurred were determined. Fatigue, bowel disturbance, sleep disturbance, and memory problems behaved as a cluster. That is, given the presence of any one of those 4 symptoms, each one of the other symptoms also occurred in at least 75% of women. CONCLUSIONS AND IMPLICATIONS: Knowing that fatigue, bowel disturbance, sleep disturbance and memory problems tend to co-occur at high frequencies in women with ovarian cancer could help nurses assess symptoms and guide patient education in symptom management. Implications for future research will also be discussed.en_GB
dc.date.available2011-10-27T12:18:06Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:18:06Z-
dc.conference.date2003en_US
dc.conference.name28th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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