Symptom Clusters in Advanced Cancer Patients

Abstract

Advanced cancer patients tend to present multiple concurrent sy mptoms which are often moderate or severe in intensity. To date, the majority of studies have focused on eit her a single symptom, such as pain, fatigue, or depression or associated symptoms. While this approach has adva nced understanding of some symptoms, it has offered clinicians not much guidance for treating several multi ple concurrent symptoms in cancer patients. So in recent years, a few symptom management studies attempted a new approach of focusing on symptom clusters instead of individual symptoms. A symptom cluster is defined as two or more concurrent symptoms that are related to each other. If we better understand symptom clusters, interrelations of symptoms, and their common mechanisms in advanced cancer patients, clinicians can more effectively control multiple, concurrent symptoms and reduce drug side effects. And clinicians can also predict any other symptom s, functional performance, and the relationship between symptom clusters and survival in advanced cancer patients. At present, there is inconsistency in symptom clusters due to many unexplained mechanisms and various means to assess and analyze symptoms. Still, with further study, the approach to symptom clusters rather than individual symptoms could more effectively control symptoms and improve patients’ quality of life.