Respiratory problems: Edited by David C. CurrowMeasurement of dyspnoea in the clinical rather than the research settingBausewein, Claudiaa,b; Booth, Sarac; Higginson, Irene Ja,bAuthor Information aDepartment of Palliative Care, Policy & Rehabilitation, King's College London School of Medicine, UK bCicely Saunders International, London, UK cPalliative Care Team, Oncology Centre, Addenbrooke's Hospital, Cambridge, UK Correspondence to Claudia Bausewein, MD, MSc, Department of Palliative Care, Policy & Rehabilitation, King's College London School of Medicine, Weston Education Centre, Denmark Hill, London, SE5 9RJ, UK Tel: +44 20 7848 0753; e-mail: [email protected] Current Opinion in Supportive and Palliative Care: June 2008 - Volume 2 - Issue 2 - p 95-99 doi: 10.1097/SPC.0b013e3282ffafe8 Buy Metrics Abstract Purpose of review Refractory dyspnoea is a common and difficult to treat symptom in advanced disease. Accurate assessment helps to guide treatment and prognosis. Recent findings The absence of commonly agreed assessment tools has been a significant barrier to improving care through inhibition of clinical research and limitation of clinicians' ability to assess the effectiveness of their interventions. Two recently published systematic reviews on measurement tools for breathlessness identified a variety of tools but none could be recommended as gold standard. Validation of these tools in palliative care seems more appropriate than development of new tools. For clinical purposes, the combination of a unidimensional tool to assess dyspnoea severity and a multidimensional tool to evaluate the impact on a person's quality of life seem most appropriate. This review discusses the present evidence and puts forward a strategy for assessment and measurement of the symptom in clinical practice. Summary Despite a variety of measurement tools none can be recommended as gold standard for the assessment of dyspnoea. A combination of unidimensional and multidimensional tools seems to be the best for clinical assessment. Measurement of dyspnoea has to be seen in context with the person's history, physical examination and diagnostic tests. © 2008 Lippincott Williams & Wilkins, Inc.