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Pain Management 2016
October 03-04, 2016
Volume 5, Issue 5(Suppl) J Pain Relief
ISSN: 2167-0846 JPAR, an open access journal
conferenceseries .com
October 03-04, 2016 Vancouver, Canada
International Conference on
Pain Research & Management
Azza Adel Hassan, J Pain Relief 2016, 5:5(Suppl)
Symptom prevalence among patients admitted under the supportive and palliative care program
in Qatar: A single institution experience
Azza Adel Hassan
National Center for Cancer Care and Research, Qatar
Patients admitted in a palliative care are usually highly symptomatic and in poor performance status. The aim of this study
is to report on the most frequently encountered symptoms among palliative care patients, the associated comorbidities and
the palliative perform score from a single institution in Qatar, dealing with the management of patients with advanced cancer
diagnosis. A retrospective cohort study that included 262 patients admitted to the Palliative Care Unit, National Center for
Cancer Care and Research (NCCCR) in Qatar over the period of 1-1-2012 till 31-12-2014. The initial palliative care assessment
forms were reviewed for the presenting symptoms, PPS and associated comorbidities. Further, analysis of pain in terms of
quality and severity was also reported. A total of 262 patients were reviewed over a 3 years period from 01-01-2012 till 31-
12-2014 using the initial palliative care assessment form. Pain was the most common symptom encountered (70% of cases),
followed by fatigue (52%), weakness (44%), anorexia (36%) and dyspnea (23%). Anxiety and depression was reported in 17%
of patients. Further analysis of pain quality revealed that, dull aching pain was the most common (53%) type of pain, followed
by sharp pain (15%) and colicky cramping in 9% of cases. The median score of pain on NRS was 3 with a range from 0-9. Most
patients had more than 3 symptoms at initial presentation (74%) of cases. The most common associated comorbidities were
diabetes and hypertension (44% and 49%, respectively). Around 50% of patients presented with poor palliative performance
score (PPS 30% or less). Patients with advanced incurable cancer diagnosis admitted to our Palliative Care Unit present with
a high burden of symptoms including mainly pain, fatigue, anorexia and dyspnea. The majority of those patients have a poor
PPS at initial presentation. This entails daily assessment and management of their symptoms.
Biography
Azza Adel Hassan has completed her MBBCh from Alexandria University, Egypt. She has also done her Master’s and Doctorate degree in Clinical Oncology from
Alexandria University. In 2003, she got the Certification of Hospice and Palliative Medicine (ABHPM). Currently, she is a Program Director of the Supportive and
Palliative Care Unit at National Center for Cancer Care and Research, Hamad Medical Corporation in Doha, Qatar. She has several publications in the field of
Clinical Oncology and Palliative Medicine in reputed journals.