Invited Commentary

Commentary on "Edmonton Symptom Assessment System for Outpatient Symptom Monitoring of Sickle Cell Disease"

Authors: Albert S. Braverman, MD


The application of the Edmonton Symptom Assessment System (ESAS) to patients with sickle cell disease (SCD) reporting to a dedicated clinic1 reveals and explicates symptoms other than pain. The study responds to the need for a more organized approach to SCD and supports the value of the tool by its account of patient responses. It is likely to be even more important in the care of patients who present to emergency departments and after admission. Hematologists are consulted, but care often is administered by emergency and general medical personnel, for whom a defined approach is important.

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1. Lopez G, Liles DK, Knupp CL. Edmonton Symptom Assessment System for outpatient symptom monitoring of sickle cell disease. South Med J 2014;107:768-772.
2. Ballas SK, Gupta K, Adams-Graves P. Sickle cell pain: a critical reappraisal. Blood 2012;120:3647-3656.
3. Smith TJ, Temin S, Alesi ER, et al. American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol 2012;30:880-887.