A5064129642- Cancer survivorship and care
- Palliative Care and End-of-Life Issues
- Pain Management and Opioid Use
- Childhood Cancer Survivors' Quality of Life
- Intensive Care Unit Cognitive Disorders
- Pain Management and Placebo Effect
- Healthcare Decision-Making and Restraints
- Patient Dignity and Privacy
- Grief, Bereavement, and Mental Health
- Cancer Treatment and Pharmacology
- Anesthesia and Sedative Agents
- Pediatric Pain Management Techniques
- Family Support in Illness
- Clinical practice guidelines implementation
- Sleep and related disorders
- Cancer, Stress, Anesthesia, and Immune Response
- Management of metastatic bone disease
- Economic and Financial Impacts of Cancer
Siriraj Hospital
2015-2021
Mahidol University
2015-2021
The University of Texas MD Anderson Cancer Center
2015-2016
Zero to Three
2015
Abstract Objective. There are limited data on the effects of financial distress (FD) overall suffering and quality life (QOL) patients with advanced cancer (AdCa). In this cross-sectional study, we examined frequency FD its correlates in AdCa. Patients Methods. We interviewed 149 patients, 77 at a comprehensive center (CCC) 72 general public hospital (GPH). AdCa completed self-rated (subjective experience attributed to problems) numeric rating scale (0 = best, 10 worst) validated...
There is limited research in advanced cancer patients (ACP) regarding association between objectively measured daytime activity and sleep (as by actigraphy), patient characteristics, symptoms (fatigue, sleep, anxiety, depression, cachexia, symptom distress scores [SDSs]).Our aim of the study was to determine mean (MDTA) following items: fatigue (FACIT-F), SDSs (Edmonton Symptom Assessment Scale [ESAS]), quality (Pittsburg Sleep Quality Index [PSQI]), objective variables (OSV) (sleep onset,...
BACKGROUND Transdermal fentanyl (TDF) is 1 of the most common opioids prescribed to patients with cancer. However, accurate opioid rotation ratio (ORR) from other TDF unknown, and various currently used methods result in wide variation ORR. The objective this study was determine ORR oral morphine equivalent daily dose (MEDD) when correcting for MEDD breakthrough (the net MEDD) cancer outpatients. METHODS records 6790 consecutive were reviewed at authors' supportive care center 2010 2013...
To compare the time duration of self-completion (SC) Edmonton Symptom Assessment Scale (ESAS) by patients with advanced cancer (ACPs) versus assisted completion (AC) a health care professional.In this randomized comparison ACPs seen in initial consultation at outpatient Supportive Care Center MD Anderson, who have never completed ESAS Anderson were allocated (1:1) to either SC form AC nurse. Time was measured nurse using stopwatch. Patients Rapid Estimate Adult Literacy Medicine (REALM) test...
The aim of this study is to establish the prevalence, associated factors, and clinical impact delirium in newly referred palliative care patients percentage diagnoses missed by primary medical teams.
Abstract Background Delirium, a neuropsychiatric syndrome that occurs throughout medical illness trajectories, is frequently misdiagnosed. The Memorial Delirium Assessment Scale (MDAS) commonly used tool in palliative care (PC) settings. Our objective was to establish and validate the Scale-Thai version (MDAS-T) PC patients. Materials Methods MDAS translated into Thai. Content validity, inter-rater reliability, internal consistency were explored. construct validity of MDAS-T analyzed using...
Abstract Background The demand for palliative care in hospitals Thailand has rapidly increased recent years. Subsequently, the way which systems should be arranged to facilitate process and patient preparation their end stage of life is still an ongoing debate among policy makers researchers. Although provided most facilities, there no clear protocol due a lack empirical evidence. Thus, this study attempts analyse situation quality provision Thai public hospitals. Methods A cross-sectional...
9612 Background: Cancer patients frequently undergo OR for uncontrolled pain or opioid induced neurotoxicity (OIN). TDF is one of the most common opioids prescribed to cancer patients. However, accurate CR from other unknown and various currently used methods result in a wide variation CRs. Our aim was determine morphine equivalent daily dose (MEDD) when correcting MEDD breakthrough (net MEDD) outpatients. Methods: We reviewed records 22,532 consecutive patient visits at our Supportive Care...
67 Background: ESAS is a multidimensional assessment tool for self-reporting of symptom intensity. Unfortunately, not used often in clinical care due to the perception that it may be time consuming. Our aim was compare duration self-completion (SC) first by patients with advanced cancer vs. assisted-completion (AC) health professional (HCP). Methods: In this randomized controlled trial, who have never completed at MD Anderson were allocated (1:1) web-based system either form vs assisted...
101 Background: There is limited research in advanced cancer patients (ACP) regarding association between objective daytime activity, sleep variables and symptom burden. Our primary aim was to determine the mean activity (MDTA) variables, related fatigue (FACIT-F), burden (ESAS), Anxiety Depression (HADS), Sleep Quality (PSQI) overall survival (OS). Methods: Secondary analysis of a recent clinical trial (NCT00424099). Association MDTA (measured by actigraphy) during first week study patient...
181 Background: Cancer patients frequently undergo opioid rotation (OR) for uncontrolled pain or induced neurotoxicity. TDF is one of the most common opioids prescribed to cancer patients. However, accurate ORR from other unknown and various currently used methods result in a wide variation ORRs. Our aim was determine morphine equivalent daily dose (MEDD) when correcting MEDD breakthrough (net MEDD) outpatients. Methods: We reviewed records 22,532 consecutive patient visits at our Supportive...
e20560 Background: Recent studies in early cancer and survivors suggest that higher physical activity (PA) scores are associated with better self-reported functioning, general well-being, self-esteem, related fatigue (CRF), depression overall survival. However, for advanced patients (ACP), there is very limited research on the association between objective symptom burden. Our primary aim was to determine PA (actigraphy) CRF (Functional Assessment of Cancer illness therapy –Fatigue). We also...
Abstract Background: The demand for palliative care in hospitals has rapidly increased Thailand recent years. Subsequently, the way which systems should be arranged to facilitate process and patient preparation their end stage of life (i.e., good death) is still an ongoing debate among policy makers researchers. Although provided most facilities, there no clear protocol due a lack empirical evidence. Thus, this study attempts analyse situation quality provision Thai public hospitals....