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- W2156844923 abstract "<h3>Background</h3> Little is known about the frequency and range of symptoms experienced by community-dwelling older persons with advanced chronic disease who are not enrolled in hospice. The objectives of our study were to determine (1) the prevalence of a range of symptoms among older persons with advanced chronic disease and (2) whether the prevalence of symptoms is similar across diagnoses. <h3>Methods</h3> This was a cross-sectional study of the symptoms reported by 226 community-dwelling persons 60 years or older with advanced chronic obstructive pulmonary disease (COPD), cancer, or congestive heart failure (CHF). Symptoms were assessed using the Edmonton Symptom Assessment System. <h3>Results</h3> Virtually all participants (86%) experienced at least 1 symptom that rated moderate or severe, and most (69%) experienced 2 or more symptoms. The symptoms reported by the greatest proportion of participants were limited activity (61%), fatigue (47%), and physical discomfort (38%). Participants with COPD had a higher unadjusted mean ± SD number of moderate or severe symptoms (3.3 ± 2.1) than did participants with cancer (2.6 ± 1.8;<i>P</i> = .03) or CHF (2.0 ± 1.7;<i>P</i><.001). After we adjusted for sociodemographic factors, compared with participants with CHF, participants with cancer experienced 38% (95% confidence interval, 9%-75%) more moderate or severe symptoms and participants with COPD experienced 71% (95% confidence interval, 37%-114%) more moderate or severe symptoms. <h3>Conclusions</h3> Most community-dwelling older persons with advanced COPD, cancer, or CHF experienced multiple moderate or severe symptoms. The clinical care of community-dwelling older persons with advanced chronic illnesses would be enhanced by the identification and alleviation of the range of symptoms they experience." @default.
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- W2156844923 date "2004-11-22" @default.
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- W2156844923 title "The Burden of Symptoms Among Community-Dwelling Older Persons With Advanced Chronic Disease" @default.
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- W2156844923 doi "https://doi.org/10.1001/archinte.164.21.2321" @default.
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