Universität zu Köln

Simon, Steffen T., Weingaertner, Vera, Higginson, Irene J., Voltz, Raymond and Bausewein, Claudia ORCID: 0000-0002-0958-3041 (2014). Definition, Categorization, and Terminology of Episodic Breathlessness: Consensus by an International Delphi Survey. J. Pain Symptom Manage., 47 (5). S. 828 - 839. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1873-6513

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Abstract

Context. Episodic breathlessness is a common and distressing symptom in patients with advanced disease. Still, it is not yet clearly defined. Objectives. The aim of this work was to develop an international definition, categorization, and terminology of episodic breathlessness. Methods. An online Delphi survey was conducted with international breathlessness experts. We used a structured questionnaire to identify specific aspects and reach agreement on a definition, categorization, and terminology (five-point Likert scale). Consensus was defined in advance as >= 70% agreement. Results. Thirty-one of 68 (45.6%), 29 of 67 (43.3%), and 33 of 67 (49.3%) experts responded in the first, second, and third rounds, respectively. Participants were 20-79 years old, about 60% male, and more than 75% rated their own breathlessness expertise as moderate to high. After three rounds, consensus was reached on a definition, categorization, and terminology (84.4%, 96.3%, and 92.9% agreement). The final definition includes general and qualitative aspects of the symptom, for example, time-limited severe worsening of intensity or unpleasantness of breathlessness in the patient's perception. Categories are predictable or unpredictable, depending on whether any triggers can be identified. Conclusion. There is high agreement on clinical and operational aspects of episodic breathlessness in advanced disease among international experts. The consented definition and categorization may serve as a catalyst for clinical and basic research to improve symptom control and patients' quality of life. (C) 2014 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Simon, Steffen T. UNSPECIFIED UNSPECIFIED UNSPECIFIED Weingaertner, Vera UNSPECIFIED UNSPECIFIED UNSPECIFIED Higginson, Irene J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Voltz, Raymond UNSPECIFIED UNSPECIFIED UNSPECIFIED Bausewein, Claudia UNSPECIFIED orcid.org/0000-0002-0958-3041 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-440160
DOI:	10.1016/j.jpainsymman.2013.06.013
Journal or Publication Title:	J. Pain Symptom Manage.
Volume:	47
Number:	5
Page Range:	S. 828 - 839
Date:	2014
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1873-6513
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ADVANCED CANCER; DYSPNEA PERCEPTION; PALLIATIVE CARE; LUNG-CANCER; MANAGEMENT; EXPERIENCE; STATEMENT; MIDAZOLAM; MORPHINE; THERAPY Multiple languages Health Care Sciences & Services; Medicine, General & Internal; Clinical Neurology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/44016