Journal of Mahatma Gandhi University of Medical Sciences and Technology

Register      Login

VOLUME 6 , ISSUE 1 ( January-April, 2021 ) > List of Articles


Comparative Analysis of Patient Outcomes while Receiving Early Palliative Care in Patients with Cancer Using ESAS Score

Nipun Lamba, Ruchika Makkar, Namita Gupta, Sudha Sarna, Seema Khandelwal

Keywords : Cancer, Early palliative care, ESAS

Citation Information : Lamba N, Makkar R, Gupta N, Sarna S, Khandelwal S. Comparative Analysis of Patient Outcomes while Receiving Early Palliative Care in Patients with Cancer Using ESAS Score. J Mahatma Gandhi Univ Med Sci Tech 2021; 6 (1):1-2.

DOI: 10.5005/jp-journals-10057-0152

License: CC BY-NC 4.0

Published Online: 31-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Background: Palliative care aims in reducing suffering and improving the well-being of patients suffering from serious life-limiting illnesses. Edmonton symptom assessment score (ESAS) is used to assess distress and life's quality of patients. Aims and objectives: To analyze the response of introducing palliative care earlier in course of illness. Materials and methods: This prospective study was using ESAS score in a tertiary care hospital. Results: The mean age of patients was 36.4 ± 5.4 in patients receiving palliative care and 37.2 ± 7.2 in patients not receiving early palliative care. All symptoms had p value < 0.05 except tiredness. Conclusion: The study concluded that when palliative care was given early during illness, we have observed better patient outcomes.

PDF Share
  1. Higginson I, Evans C. What is the evidence that palliative care teams improve outcomes for cancer patients and their families? Cancer J 2010;16(5):423–435. DOI: 10.1097/PPO.0b013e3181f684e5.
  2. WHO. WHO Definition of Palliative Care; 2013. Available from:
  3. Smith TJ, Temin S, Alesi ER, et al. American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 2012;30(8):880–887. DOI: 10.1200/JCO.2011.38.5161.
  4. Palliative care Brochure National Institute of Nursing Research. U.S. Department of Health and Human services. National Institute of Health. Available from:
  5. Bruera E, Hui D. Integrating supportive and palliative care in the trajectory of cancer: establishing goals and models of care. J Clin Oncol 2010;28(25):4013–4017. DOI: 10.1200/JCO.2010.29.5618.
  6. Smith TJ, Dow LA, Virago E. Giving honest information to patients with advanced cancer maintains hope. Oncology (Williston Park) 2010;24(6):521–525.
  7. Peppercorn JM, Smith TJ, Helft PR. American Society of Clinical Oncology statement: toward individualized care for patients with advanced cancer. J Clin Oncol 2011;29(6):755–760. DOI: 10.1200/JCO.2010.33.1744.
  8. Fisch MJ, Lee JW, Weiss M. Prospective, observational study of pain and analgesic prescribing in medical oncology outpatients with breast, colorectal, lung, or prostate cancer. J Clin Oncol 2012;30(16):1980–1988. DOI: 10.1200/JCO.2011.39.2381.
  9. Hui D, Mori M, Parsons HA, et al. The lack of standard definitions in the supportive and palliative oncology literature. J Pain Symptom Manage 2012;43(3):582–592. DOI: 10.1016/j.jpainsymman.2011.04.016.
  10. Elsayem A, Swint K, Fisch MJ, et al. Palliative care inpatient service in a comprehensive cancer center: clinical and financial outcomes. J Clin Oncol 2004;22(10):2008–2014. DOI: 10.1200/JCO.2004.11.003.
  11. Jack B, Hillier V, Williams A, et al. Hospital based palliative care teams improve the insight of cancer patients into their disease. Palliat Med 2004;18(1):46–52. DOI: 10.1191/0268216304pm846oa.
  12. Jack B, Hillier V, Williams A, et al. Hospital based palliative care teams improve the symptoms of cancer patients. Palliat Med 2003;17(6):498–502. DOI: 10.1191/0269216303pm794oa.
  13. Manfredi PL, Morrison RS, Morris J, et al. Palliative care consultations: how do they impact the care of hospitalized patients? J Pain Symptom Manage 2000;20(3):166–173. DOI: 10.1016/s0885-3924(00)00163-9.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.