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Sequential occurrence of dyspnea at the end of life in palliative care, according to the underlying cancer.

Guirimand F, Sahut d'izarn M, Laporte L, Francillard M, Richard JF, Aegerter P - Cancer Med (2015)

Bottom Line: Its frequency differs considerably between studies.Dyspnea frequency varied with the primary cancer site, from 24% (brain cancer) to 60% (esophageal cancer).The data for cancer patients staying for more than 6 days who subsequently died indicated that 8% of patients experienced dyspnea exclusively during the last 4 days of the life, independently of the site of the primary cancer.

View Article: PubMed Central - PubMed

Affiliation: Pôle Recherche SPES ("Soins Palliatifs En Société"), Maison Médicale Jeanne Garnier, Paris, 75015, France.

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Extracted data for 3621 cancer patients who died after more than 6 days in the palliative care hospital. Dyspnea occurred in 47% of these patients. Cancers were classified into three groups according to the frequency of dyspnea: low frequency (brain: 27%), high frequency (thorax and ENT: 63%), and intermediate frequency (others: 43%). Dyspnea was classified according the timing of the first episode: during the last 4 days of life (exclusively terminal dyspnea: ETD) or earlier (more precocious dyspnea). The frequency of ETD (8–10%) was independent of the site of the primary cancer, unlike that of more precocious dyspnea (18–54%).
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fig01: Extracted data for 3621 cancer patients who died after more than 6 days in the palliative care hospital. Dyspnea occurred in 47% of these patients. Cancers were classified into three groups according to the frequency of dyspnea: low frequency (brain: 27%), high frequency (thorax and ENT: 63%), and intermediate frequency (others: 43%). Dyspnea was classified according the timing of the first episode: during the last 4 days of life (exclusively terminal dyspnea: ETD) or earlier (more precocious dyspnea). The frequency of ETD (8–10%) was independent of the site of the primary cancer, unlike that of more precocious dyspnea (18–54%).

Mentions: We carried out an analysis of the 3621 cancer patients who died after more than 6 days in the unit: 47% had dyspnea, 8% classified as ETD (dyspnea first occurring in the last 4 days before death), and 39% occurring earlier with respect to the patient's death. As illustrated in Figure1, the various types of cancers were classified into three groups, according to the frequency of dyspnea: rare (brain cancer), highly frequent (lung/pleura, esophagus and ENT cancers), and moderately frequent (all other cancers). The frequency of the more precocious form of dyspnea clearly differed between primary cancer sites (varying from 18% to 54%) whereas the frequency of ETD was almost constant for the various sites (8–10%); this difference was statistically significant (P < 0.001).


Sequential occurrence of dyspnea at the end of life in palliative care, according to the underlying cancer.

Guirimand F, Sahut d'izarn M, Laporte L, Francillard M, Richard JF, Aegerter P - Cancer Med (2015)

Extracted data for 3621 cancer patients who died after more than 6 days in the palliative care hospital. Dyspnea occurred in 47% of these patients. Cancers were classified into three groups according to the frequency of dyspnea: low frequency (brain: 27%), high frequency (thorax and ENT: 63%), and intermediate frequency (others: 43%). Dyspnea was classified according the timing of the first episode: during the last 4 days of life (exclusively terminal dyspnea: ETD) or earlier (more precocious dyspnea). The frequency of ETD (8–10%) was independent of the site of the primary cancer, unlike that of more precocious dyspnea (18–54%).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4402068&req=5

fig01: Extracted data for 3621 cancer patients who died after more than 6 days in the palliative care hospital. Dyspnea occurred in 47% of these patients. Cancers were classified into three groups according to the frequency of dyspnea: low frequency (brain: 27%), high frequency (thorax and ENT: 63%), and intermediate frequency (others: 43%). Dyspnea was classified according the timing of the first episode: during the last 4 days of life (exclusively terminal dyspnea: ETD) or earlier (more precocious dyspnea). The frequency of ETD (8–10%) was independent of the site of the primary cancer, unlike that of more precocious dyspnea (18–54%).
Mentions: We carried out an analysis of the 3621 cancer patients who died after more than 6 days in the unit: 47% had dyspnea, 8% classified as ETD (dyspnea first occurring in the last 4 days before death), and 39% occurring earlier with respect to the patient's death. As illustrated in Figure1, the various types of cancers were classified into three groups, according to the frequency of dyspnea: rare (brain cancer), highly frequent (lung/pleura, esophagus and ENT cancers), and moderately frequent (all other cancers). The frequency of the more precocious form of dyspnea clearly differed between primary cancer sites (varying from 18% to 54%) whereas the frequency of ETD was almost constant for the various sites (8–10%); this difference was statistically significant (P < 0.001).

Bottom Line: Its frequency differs considerably between studies.Dyspnea frequency varied with the primary cancer site, from 24% (brain cancer) to 60% (esophageal cancer).The data for cancer patients staying for more than 6 days who subsequently died indicated that 8% of patients experienced dyspnea exclusively during the last 4 days of the life, independently of the site of the primary cancer.

View Article: PubMed Central - PubMed

Affiliation: Pôle Recherche SPES ("Soins Palliatifs En Société"), Maison Médicale Jeanne Garnier, Paris, 75015, France.

Show MeSH
Related in: MedlinePlus