{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:07:59Z","timestamp":1789171679045,"version":"build-2803163510"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat&amp;#65533;Care"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Palliative care aims to improve the quality of life for patients with advanced chronic diseases. Accurate symptom assessment, based on fully completed questionnaires, is essential for selecting appropriate treatments during the final stages, when patients experience severe distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study evaluates the use of the Edmonton Symptom Assessment Scale \u2013 Revised (ESAS-r) in hospitalized patients with limited life expectancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This cross-sectional study included hospitalized patients with advanced chronic diseases and a life expectancy of less than six months, as determined by the healthcare team\u2019s clinical judgment using the Surprise Question at admission.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The ESAS-r, a validated brief self-report tool, was used to assess nine core symptoms and one additional symptom: pain, tiredness (lack of energy), nausea, drowsiness, lack of appetite, shortness of breath, depression (feeling sad), anxiety (feeling nervous), overall well-being, and an optional symptom. If the patient\u2019s condition permitted, the investigator administered the questionnaire verbally and recorded the responses. If not, the reason was documented, and patient data were collected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The ESAS-r effectively captured a multidimensional profile of patient suffering. Depression, impaired well-being, and tiredness were the most severe symptoms reported. However, 45% of patients (n = 47\/104) with significantly lower Karnofsky Performance Scale (KPS) scores were unable to complete the study due to poor general condition. Patients who died within six months had significantly higher rates of cancer (p = 0.016) and more severe appetite loss (p = 0.010) than survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The ESAS-r is an effective tool for monitoring both physical and psychological symptoms in hospitalized palliative patients. Among patients with limited life expectancy and poor functional status, nearly half may be unable to complete the questionnaire due to their condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524261472080","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:05:45Z","timestamp":1788973545000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of the use of the Edmonton Symptom Assessment Scale \u2013 Revised (ESAS-r) among hospitalised patients with limited life expectancy: A cross-sectional study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7382-082X","authenticated-orcid":false,"given":"N\u00f3ra","family":"Szigeti","sequence":"first","affiliation":[{"name":"Medical School, University of P\u00e9cs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adri\u00e1n Andr\u00e1s","family":"P\u00e1l","sequence":"additional","affiliation":[{"name":"Medical School, University of P\u00e9cs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Szil\u00e1rd","family":"Kun","sequence":"additional","affiliation":[{"name":"Medical School, University of P\u00e9cs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Csik\u00f3s","sequence":"additional","affiliation":[{"name":"Medical School, University of P\u00e9cs"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvaf182"},{"key":"e_1_3_7_3_2","article-title":"Performance status and survival in cancer patients undergoing palliative care: retrospective study","author":"Allende-P\u00e9rez S","year":"2022","unstructured":"Allende-P\u00e9rez S, Rodr\u00edguez-Mayoral O, Pe\u00f1a-Nieves A, et al. Performance status and survival in cancer patients undergoing palliative care: retrospective study. BMJ Support Palliat Care 2022, bmjspcare-2022-003562.","journal-title":"BMJ Support Palliat Care"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951525101120"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/082585979100700202"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2010.04.020"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216319854264"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951525100278"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-7-16"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1556\/650.2024.33070"},{"key":"e_1_3_7_11_2","volume-title":"Edmonton Symptom Assessment System Revised (ESAS-r) - Official Hungarian Translation (v.1). Edmonton (AB): Alberta Health Services","author":"Alberta Health Services, Cancer Care Ontario","year":"2015","unstructured":"Alberta Health Services, Cancer Care Ontario. Edmonton Symptom Assessment System Revised (ESAS-r) - Official Hungarian Translation (v.1). Edmonton (AB): Alberta Health Services, 2015."},{"key":"e_1_3_7_12_2","first-page":"476","article-title":"National healthcare clinical guideline for the comprehensive hospice and palliative care of adult cancer patients","volume":"73","author":"Ministry of Interior, Secretariat of State for Health","year":"2023","unstructured":"Ministry of Interior, Secretariat of State for Health. National healthcare clinical guideline for the comprehensive hospice and palliative care of adult cancer patients. Off Gaz Health 2023; 73: 476\u2013526.","journal-title":"Off Gaz Health"},{"key":"e_1_3_7_13_2","first-page":"e70914","article-title":"Exploring the Influence of the Edmonton Symptom Assessment System Implementation in Palliative Care Patients: A Systematic Review","volume":"16","author":"Alsuliman HR","year":"2024","unstructured":"Alsuliman HR, Alsaigh SA, Habib FA, et al. Exploring the Influence of the Edmonton Symptom Assessment System Implementation in Palliative Care Patients: A Systematic Review. Cureus 2024; 16: e70914. https:\/\/doi.org\/10.7759\/cureus.70914","journal-title":"Cureus"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.07.013"},{"key":"e_1_3_7_15_2","first-page":"1703","article-title":"[Palliative care in non-cancer, chronic, progressive diseases]","volume":"156","author":"Radv\u00e1nyi I","year":"2015","unstructured":"Radv\u00e1nyi I, Nagy L, Balogh S, et al. [Palliative care in non-cancer, chronic, progressive diseases]. Orv Hetil 2015; 156: 1703\u20131709. https:\/\/doi.org\/10.1556\/650.2015.30272","journal-title":"Orv Hetil"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216310395985"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.370"},{"key":"e_1_3_7_18_2","volume-title":"Edmonton Symptom Assessment System \u2013 Revised (ESAS-r) Administration Manual. Edmonton: Alberta Health Services Edmonton Zone Palliative Care Program, Covenant Health Palliative Institute, Division of Palliative Care Medicine, Department of Oncology","author":"Nekolaichuk C","year":"2019","unstructured":"Nekolaichuk C, Beaumont C, Watanabe S (eds). Edmonton Symptom Assessment System \u2013 Revised (ESAS-r) Administration Manual. Edmonton: Alberta Health Services Edmonton Zone Palliative Care Program, Covenant Health Palliative Institute, Division of Palliative Care Medicine, Department of Oncology. University of Alberta, 2019."},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/082585979901500304"},{"key":"e_1_3_7_20_2","first-page":"4077","article-title":"Symptom assessment in advanced palliative home care for cancer patients using the ESAS: clinical aspects","volume":"21","author":"Heedman PA","year":"2001","unstructured":"Heedman PA, Strang P. Symptom assessment in advanced palliative home care for cancer patients using the ESAS: clinical aspects. Anticancer Res 2001; 21: 4077\u20134082.","journal-title":"Anticancer Res"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/onco.13619"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-008-0522-1"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-013-1955-8"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216307087659"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cllc.2017.05.018"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.02.015"},{"key":"e_1_3_7_27_2","first-page":"1","article-title":"Monitoring symptom change in palliative care patients: A Bruy\u00e8re Rapid Review","volume":"11","author":"Ghogomu E","year":"2017","unstructured":"Ghogomu E, Welch V, Li C. Monitoring symptom change in palliative care patients: A Bruy\u00e8re Rapid Review. Ottawa: Bruy\u00e8re Continuing Care 2017; 11: 1\u201321.","journal-title":"Ottawa: Bruy\u00e8re Continuing Care"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2020.06.017"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2019.04.016"},{"key":"e_1_3_7_30_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-019-07320-z"},{"key":"e_1_3_7_31_2","first-page":"356","article-title":"[The difficulty of pain-assessment in palliative care ESAS and MIDOS - measuring instruments with limited informative value]","volume":"114","author":"Schmieg HV","year":"2025","unstructured":"Schmieg HV, Baierl\u00e9 E, M\u00fcller B. [The difficulty of pain-assessment in palliative care ESAS and MIDOS - measuring instruments with limited informative value]. Praxis 2025; 114: 356\u2013359.","journal-title":"Praxis"},{"key":"e_1_3_7_32_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602057"}],"container-title":["Palliative Care and Social Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524261472080","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26323524261472080","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26323524261472080","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:21:40Z","timestamp":1789168900000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26323524261472080"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":31,"alternative-id":["10.1177\/26323524261472080"],"URL":"https:\/\/doi.org\/10.1177\/26323524261472080","relation":{},"ISSN":["2632-3524","2632-3524"],"issn-type":[{"value":"2632-3524","type":"print"},{"value":"2632-3524","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"article-number":"26323524261472080"}}