RATIONALE: A growing evidence base supports provision of palliative care services alongside life-prolonging care. Whereas palliative care processes have been implemented widely in the care of @entity1 with @entity2 , the same is not true for @entity1 with chronic, progressive @entity358 . OBJECTIVES: To compare the symptom burden of @entity1030 with that of @entity2 at the time of initial palliative care consultation. METHODS: Data were abstracted from the Carolinas Palliative Care Consortium's Quality Data Collection Tool, an electronic database used by seven @entity4207 and community palliative care practices in multiple states for quality improvement purposes. We analyzed data derived from first palliative care encounters collected during a 2-year period, including the primary diagnosis of @entity1030 or @entity2 , unresolved symptoms, setting of initial palliative care encounter, Palliative Performance Scale status, and on that basis we estimated prognosis for survival. We compared key clinical variables between @entity1030 and @entity2 using Kruskal-Wallis and   (2) tests. MEASUREMENTS AND MAIN RESULTS: We identified 152 @entity1 with @entity2 and 86 @entity1 with @entity1030 . Of the total sample, 53% were @entity1 and 87% were white. @entity1 with @entity1030 were more likely than those with @entity2 to have the initial palliative care encounter occur in the intensive care unit (17% vs. 6%; P   =   0.005) and less likely as an outpatient (20% vs. 56%; P   <   0.0001). @entity1 with @entity1030 were also less likely to have a high Palliative Performance Scale status (14% vs. 30%; P   =   0.009) but more likely to have an estimated prognosis for survival longer than 6 months (51% vs. 28%; P   =   0.002). The most prevalent symptoms were @entity1353 (55% vs. 42%) and @entity158 (40% vs. 52%), neither of which differed between groups (P   =   0.08). CONCLUSIONS: @entity1 with @entity1030 have symptom burdens similar to those of @entity1 with @entity2 at the time of first palliative care encounter. Given the population burden of @entity1030 and limitations in the palliative care workforce, attention should be focused on ensuring that pulmonologists are prepared to assess and manage the common palliative care needs of @entity1 with @entity1030 .

Symptom Burden of XXXX Compared with Lung Cancer at Time of Referral for Palliative Care Consultation.

@entity1 :: ('9606', 'Species') :: ['women', 'Patients', 'patients'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity2 :: ('MESH:D008175', 'Disease') :: ['lung cancer'] @entity358 :: ('MESH:D008171', 'Disease') :: ['lung disease'] @entity4207 :: ('MESH:D007859', 'Disease') :: ['academic'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1030 :: ('MESH:D029424', 'Disease') :: ['chronic lung disease']
@entity1030 :: (MESH:D029424,Disease) :: ['Chronic Lung Disease']
