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Edmonton Symptom Assessment System Revised (ESAS-R)

ESAS-R is a validated self-report tool for assessing 10 common symptoms in cancer and palliative care patients, using 0-10 numerical rating scales.

Purpose:
Systematically assess symptom burden in cancer and palliative care patients
Population:
Cancer patients and palliative care patients
Factors:
Pain, Tiredness, Drowsiness, Nausea, Lack of appetite, Shortness of breath, Depression, Anxiety, Wellbeing, Other symptom
Reference:
Watanabe et al., Journal of Pain and Symptom Management 2011
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ESAS-R Calculator — Edmonton Symptom Assessment System Revised

Clinical Context & Background

The ESAS-r is a tool used to assess the intensity of 9 common symptoms in palliative care patients (Pain, Tiredness, Drowsiness, Nausea, Lack of Appetite, Shortness of Breath, Depression, Anxiety, Wellbeing). Each is scored from 0 to 10.
Primary Source EvidenceWatanabe SM, Nekolaichuk C, Beaumont C, et al. A multicenter study comparing two numerical versions of the Edmonton Symptom Assessment System in palliative care patients. J Pain Symptom Manage. 2011;41(2):456-468.
Formula Logic
Sum of individual symptom scores (0-90) + Optional 10th symptom.

Reference Data

Symptom IntensityScore Range
None0
Mild1 - 3
Moderate4 - 6
Severe7 - 10

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