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The cachexia assessment scale: development and psychometric properties.

18:44 EDT 25th May 2013 | BioPortfolio

Summary of "The cachexia assessment scale: development and psychometric properties."

Purpose/Objectives: To develop a tool to identify patients with cancer who suffer from cachexia throughout all stages of the disease.Design: Tool development study.Setting: Oncology day care, follow-up clinics, radiotherapy, and hospice home care.Sample: 90 patients with cancer (25 men and 65 women).Methods: The Cachexia Assessment Scale (CAS) was created based on a thorough review of the literature and was tested for its psychometric properties.Main Research Variables: Presence of cachexia.Findings: Measures of reliability were determined by inter-rater, test-retest, and internal consistency reliability. Measures of validity were content validity, criterion validity, sensitivity, and specificity.Conclusions: The CAS possesses adequate levels of reliability and validity and can be used to evaluate cachexia at all stages of cancer.Implications for Nursing: The CAS can be used as an assessment tool for cachexia in various treatment settings.

Affiliation

Oncology Palliative Care Unit, Clalit Health Services, Jerusalem, Israel.

Journal Details

This article was published in the following journal.

Name: Oncology nursing forum
ISSN: 1538-0688
Pages: 635-40

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Medical and Biotech [MESH] Definitions

Brief Psychiatric Rating Scale

A scale comprising 18 symptom constructs chosen to represent relatively independent dimensions of manifest psychopathology. The initial intended use was to provide more efficient assessment of treatment response in clinical psychopharmacology research; however, the scale was readily adapted to other uses. (From Hersen, M. and Bellack, A.S., Dictionary of Behavioral Assessment Techniques, p. 87)

Language Tests

Tests designed to assess language behavior and abilities. They include tests of vocabulary, comprehension, grammar and functional use of language, e.g., Development Sentence Scoring, Receptive-Expressive Emergent Language Scale, Parsons Language Sample, Utah Test of Language Development, Michigan Language Inventory and Verbal Language Development Scale, Illinois Test of Psycholinguistic Abilities, Northwestern Syntax Screening Test, Peabody Picture Vocabulary Test, Ammons Full-Range Picture Vocabulary Test, and Assessment of Children's Language Comprehension.

Megestrol Acetate

Megestrol acetate is a progestogen with actions and uses similar to those of the progestogens in general. It also has anti-androgenic properties. It is given by mouth in the palliative treatment or as an adjunct to other therapy in endometrial carcinoma and in breast cancer. Megestrol acetate has been approved to treat anorexia and cachexia. (From Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Englewood, CO, 1995)

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Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.

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