Patients with palpitations experience a higher symptom burden prior to breast cancer surgery
Y Sheng, JS Carpenter, SM Paul, YP Conley… - European Journal of …, 2023 - Elsevier
Y Sheng, JS Carpenter, SM Paul, YP Conley, JD Levine, C Miaskowski
European Journal of Oncology Nursing, 2023•ElsevierPurpose Anxiety, depression, sleep disturbance, fatigue, cognitive dysfunction, and pain are
common symptoms reported by patients with breast cancer. Recent evidence suggests that
palpitations, a feeling of the heart racing or pounding, may be equally common. Study
purpose was to compare the severity and clinically meaningful occurrence rates of common
symptoms and quality of life (QOL) outcomes between patients with breast cancer who did
and did not report palpitations prior to surgery. Methods Patients (n= 398) were classified as …
common symptoms reported by patients with breast cancer. Recent evidence suggests that
palpitations, a feeling of the heart racing or pounding, may be equally common. Study
purpose was to compare the severity and clinically meaningful occurrence rates of common
symptoms and quality of life (QOL) outcomes between patients with breast cancer who did
and did not report palpitations prior to surgery. Methods Patients (n= 398) were classified as …
Purpose
Anxiety, depression, sleep disturbance, fatigue, cognitive dysfunction, and pain are common symptoms reported by patients with breast cancer. Recent evidence suggests that palpitations, a feeling of the heart racing or pounding, may be equally common. Study purpose was to compare the severity and clinically meaningful occurrence rates of common symptoms and quality of life (QOL) outcomes between patients with breast cancer who did and did not report palpitations prior to surgery.
Methods
Patients (n = 398) were classified as having or not having palpitations using a single item from the Menopausal Symptoms Scale. Valid and reliable measures were used to assess state and trait anxiety, depression, sleep disturbance, fatigue, energy, cognitive function, breast symptoms, and QOL. Between group differences were evaluated using parametric and non-parametric tests.
Results
Patients with palpitations (15.1%) reported significantly higher severity scores for state and trait anxiety, depression, sleep disturbance, and fatigue as well as significant decrements in energy and cognitive function (all p < .05). A higher percentage of these patients had clinically meaningful levels of state anxiety, depression, sleep disturbance and decrements in cognitive function (all p < .05). Except for spiritual well-being, QOL scores were lower in the palpitations group (all p < .001).
Conclusion
Findings support the need for routine assessment of palpitations and management of multiple symptoms in women prior to breast cancer surgery.
Elsevier
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