This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (46)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Robert L. Kane, MD; Leslie Bernstein, PhD; Jeffrey Wales, PhD; Rebecca Rothenberg, MPH

JAMA. 1985;253(18):2683-2686.

Abstract
Terminal cancer patients were randomly assigned to receive comprehensive hospice care or traditional medical care. Patients were followed up for two years or until death. Pain was measured by the McGill Pain Scale. Frequency and intensity of cancer-related symptoms were also noted. Over the course of the study, 34% of hospice patients and 21% of control patients never reported pain. No significant differences between the two groups could be detected in either the proportion of patients with pain at any time or the intensity of pain. Neither were there differences in the intensity or frequency of cancer-related symptoms. The presence of pain was associated with the presence of other symptoms; a significant correlation was found between the levels of depression and anxiety and pain scores.

(JAMA 1985;253:2683-2686)

Author Affiliations
From the UCLA Multicampus Division of Geriatric Medicine (Drs Kane and Wales and Ms Rothenberg), the UCLA School of Public Health (Dr Kane), and the Department of Preventive Medicine, University of Southern California School of Medicine (Dr Bernstein and Ms Rothenberg), Los Angeles. Dr Kane is also with The Rand Corporation, Santa Monica, Calif. Dr Wales is now with the UCLA Cancer Center, Los Angeles.

Footnotes
The views expressed in this article are the authors' own and are not necessarily shared by The Rand Corporation or its research sponsors.

Reprint requests to The Rand Corporation, 1700 Main St, Santa Monica, CA 90406 (Dr Kane).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Effectiveness of Specialized Palliative Care: A Systematic Review
Zimmermann et al.
JAMA 2008;299:1698-1709.
ABSTRACT | FULL TEXT  

Prevalence of pain in patients with cancer: a systematic review of the past 40 years
van den Beuken-van Everdingen et al.
Ann Oncol 2007;18:1437-1449.
ABSTRACT | FULL TEXT  

Professional Organizations' Position Statements on Physician-Assisted Suicide: A Case for Studied Neutrality
Quill and Cassel
ANN INTERN MED 2003;138:208-211.
ABSTRACT | FULL TEXT  

A longitudinal study of pain in hospice and pre-hospice patients
Owens et al.
AM J HOSP PALLIAT CARE 2001;18:124-128.
ABSTRACT  

The impact of different models of specialist palliative care on patients' quality of life: a systematic literature review
Salisbury et al.
Palliat Med 1999;13:3-17.
ABSTRACT  

Do specialist palliative care teams improve outcomes for cancer patients? A systematic literature review
Hearn and Higginson
Palliat Med 1998;12:317-332.
ABSTRACT  

A comparison of hospice and hospital care for people who die: views of the surviving spouse
Seale and Kelly
Palliat Med 1997;11:93-100.
ABSTRACT  

Doctor, I Want to Die. Will You Help Me?
Quill
JAMA 1993;270:870-873.
ABSTRACT  

Pain management practices in a home care hospice program: Physicians, staff should share responsibility
Byrd et al.
AM J HOSP PALLIAT CARE 1987;4:21-29.
 

Alzheimer's Disease and Hospice Care
Ench
AM J HOSP PALLIAT CARE 1987;4:19-23.
 

Growth: The essence of hospice: From a physician' s point of view
Byock
AM J HOSP PALLIAT CARE 1986;3:16-21.