Abstract
9546 Background: The relief of symptoms is a critical aspect of supportive care in medical oncology. This NCI funded study compared usual care to an educational and systems change intervention in a Comprehensive Cancer Center. This paper presents data comparing the total N=184 patients including Breast (40%), Lung (25%), Colon (20%) or Prostate (15%) cancer. Based on the NCCN Pain and Fatigue guidelines, the intervention included a four part patient education program, professional education and strategies to integrate symptom management into routine oncology practice. Methods: This trial compared symptom management in outpatient oncology patients experiencing pain and/or fatigue who received either usual care (N=83) or the intervention (N=101). Outcome measures included the Pain and Fatigue Knowledge Scales, Psychological Distress Thermometer, City of Hope QOL Tool, Karnofsky Scale and Piper Fatigue Scale. Patients were assessed at baseline and 1 and 3 months post intervention endpoints. Results: To deter...
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