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Symptom Cluster Trajectories During Chemotherapy in Breast Cancer Outpatients  Hsin-Tien Hsu, PhD, Kuan-Chia Lin, PhD, Li-Min Wu, PhD, Chiung-Hui Juan,

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1 Symptom Cluster Trajectories During Chemotherapy in Breast Cancer Outpatients 
Hsin-Tien Hsu, PhD, Kuan-Chia Lin, PhD, Li-Min Wu, PhD, Chiung-Hui Juan, MSN, Ming-Feng Hou, MD, Shiow-Li Hwang, DNSc, Yi Liu, PhD, Marylin J. Dodd, PhD  Journal of Pain and Symptom Management  Volume 53, Issue 6, Pages (June 2017) DOI: /j.jpainsymman Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

2 Fig. 1 Quadratic trajectories of two symptom clusters in the third 21-day chemotherapy cycle. Group 1: Neurocognition cluster (pain, shortness of breath, vomiting, memory problems, numbness or tingling; 38.46%). Y = 2.08 − 0.11 (days) +  (day2) (β0 = 2.08, P < 0.001; β1 = −0.011, P < 0.001; β2 =  , P = 0.0186). Group 2: Emotion-nausea-fatigue-anorexia cluster (fatigue, nausea, disturbed sleep, distress/upset, lack of appetite, drowsiness, dry mouth, sadness; 61.54%). Y = 3.96 − 0.26 (days) +  (day2) (β0 = 3.96, P < 0.001; β1 = −0.26, P < 0.001; β2 =  , P < 0.001). Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions

3 Fig. 2 Linear trajectories of three symptom clusters in the third 14-day chemotherapy cycle. Group 1: Neurocognition cluster (pain, shortness of breath, vomiting, memory problems, numbness or tingling; 38.46%). Y = 2.09 − 0.11 (days) (β0 = 2.09, P < 0.001; β1 = −0.11, P = 0.004). Group 2: Emotion-nausea cluster (nausea, disturbed sleep, distress/upset, drowsiness, sadness; 38.46%). Y = 3.57 − 0.20 (days) (β0 = 3.57, P < 0.001; β1 = −0.20, P < 0.001). Group 3: Fatigue-anorexia cluster (fatigue, lack of appetite, dry mouth; 23.08%). Y = 4.22–0.21 (days) (β0 = 4.22, P < 0.001; β1 = −0.21, P < 0.001). Journal of Pain and Symptom Management  , DOI: ( /j.jpainsymman ) Copyright © 2017 American Academy of Hospice and Palliative Medicine Terms and Conditions


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