Comparison of symptom burden among patients referred to palliative care with hematologic malignancies versus those with solid tumors.

ABSTRACT Background: Patients with hematologic malignancies have reduced and later access to palliative care services (APCS) than do those with solid tumors. It is unclear whether these patients develop a high symptom burden at the end of life that requires special palliative care interventions. The purposes of this retrospective study were to determine whether symptoms are less severe in patients with hematologic than in those with solid malignancies on APCS and whether symptom severity is associated with early APCS. Methods: We studied the records of consecutive patients with hematologic and solid malignancies at their first palliative care consultation (PC1). We collected information about demographics, cancer type, date of PC1, and the interval from PC1 to death (PC1-D). We reviewed the charts for the Edmonton Symptoms Assessment System (ESAS) and presence of delirium. Results: We included 250 patients (125 with each type of malignancy). Median pain and drowsiness were 4 (3–5) and 7 (5–10) among hemat...