CHALLENGES IN THE EDMONTON SYMPTOM ASSESMENT SCALE (ESAS) IMPLEMENTATION IN THE ONCOLOGY AND HEMATOLOGY UNIT BY THE INTEGRATIVE MEDICINE GROUP OF A PRIVATE TERCIARY HOSPITAL IN SÃO PAULO: EXPERIENCE REPORT
Notice bibliographique
Résumé
All articles of this category (opens in new window) Case presentation: The use of complementary and integrative medicine (CIM) by cancer patients is well-known in the oncology setting, mostly related to the desire to increase the chances of cure, minimize side effects and also participate actively of their salutogenesis. The Edmonton Symptom Assesment Scale (ESAS) has been used as self-reported symptoms tool in Integrative Medicine Centers in the United States. We describe our recent experience in implementing the ESAS in the oncology and hematology unit for inpatients pre and post integrative therapy (IT) performed by integrative medicine group (IMG). Discussion: The IMG acts in the oncology and hematology center since 2007 offering IT to all inpatients with no charge to patients and caregivers. The IT are individualized non-invasive mind-body thecniques, adapted to patients needs and limitations, including gentle movements and breathing exercises based on yoga, touch therapy and relaxation thecniques conducted by therapists voice, during 20-30minutes. From 12th June to 19th July 2019 the ESAS was implemented pre and post IT. The first step before including the scale in the routine was education of the IMG with discussion of ESAS by a physician and nurse experts in palliative care. None of the four mind-body therapists had ever worked at a hospital or with ESAS before joining IMG. Secondly a standardized speech was stablished with clear explanation to patients of the importance of the evaluation and their voluntary participation with no implications if they refuse to fill the scale. An extra note was added to the ESAS with observation gap to better understand the challenges during the sessions. Eighty ESAS were completed during the 40 sessions to 31 adult patients. Twenty were filled by patients and 17 by therapists. Ten patients slept during the session and 7 didnt filled the post ESAS immediatly after the end of the session. Two patients couldnt understand the instructions due to confuse state and 2 patients refused to fill the post ESAS. One patient didnt understand the intruction. Final Comments: In our experience implementing the ESAS in the routine of the IMG represents a challenge regarding the lack of experience of the group with symptom scales, patient approach and sleeping during the sessions. However, the evaluation was well-accepted by the group and patients to better understand the benefits of IT and also to facilitate the communication with the multidisciplinary and physician teams. Publication History Article published online: 23 October 2019 © 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/) Thieme Revinter Publicações Ltda. Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil Bibliographical Record Denise Tiemi Noguchi, Camila Viale Nogueira, Adriana Cajado Gasparini, Fernanda Burmeister Pires, Maria Ester Massola. CHALLENGES IN THE EDMONTON SYMPTOM ASSESMENT SCALE (ESAS) IMPLEMENTATION IN THE ONCOLOGY AND HEMATOLOGY UNIT BY THE INTEGRATIVE MEDICINE GROUP OF A PRIVATE TERCIARY HOSPITAL IN SÃO PAULO: EXPERIENCE REPORT. Brazilian Journal of Oncology 2019; 15. DOI: 10.1055/s-0044-1797592
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,002 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,001 | 0,002 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».