Association between the duration of palliative care service and survival in terminal cancer patients
Purpose Preliminary studies of early palliative care showed improved quality of life, less medical cost, and better survival time. But, most terminal cancer patients tend to be referred to palliative care late. For the proper care of terminal cancer patients, it is necessary to refer to hospice and...
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| Veröffentlicht in: | Supportive care in cancer 2015-04, Vol.23 (4), p.1057-1062 |
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| container_title | Supportive care in cancer |
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| creator | Lee, Yong Joo Yang, Jung-Hwa Lee, Jung-Wook Yoon, Johi Nah, Jung-Ran Choi, Whan-Seok Kim, Chul-min |
| description | Purpose
Preliminary studies of early palliative care showed improved quality of life, less medical cost, and better survival time. But, most terminal cancer patients tend to be referred to palliative care late. For the proper care of terminal cancer patients, it is necessary to refer to hospice and palliative care timely. The aim of this study is to analyze the effect of the duration of palliative care services on the survival in terminal cancer patients.
Methods
We reviewed 609 patients who had died from terminal cancer between January 2010 and December 2012. We analyzed correlations of age, first Palliative Performance Scale (PPS) level, duration of palliative care service, and survival time. The Cox proportional hazards regression model was used for both univariate and multivariate analyses of survival.
Results
Duration of palliative care services was significantly correlated with survival time. In univariate Cox regression analysis, age, and each group of duration of palliative care service showed significant associations with survival. Final multivariate Cox regression model retained four parameters as independent prognostic factors for survival (age HR = 0.99 (
p
= 0.002), 1∼10 days HR = 2.64 (
p
|
| doi_str_mv | 10.1007/s00520-014-2444-4 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1660415210</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A423835997</galeid><sourcerecordid>A423835997</sourcerecordid><originalsourceid>FETCH-LOGICAL-c509t-19ac9a71f8bbe121a3b18b9e655e61284f6a83ed07ec638bc5fef4ebb385cc843</originalsourceid><addsrcrecordid>eNp1kUtr3TAQhUVpaG7T_oBuiqCbbpxo9LCl5SWkTSHQTbIWsjxOFWz5VrJvyb-vjNMnLVpomPnOYYZDyBtg58BYc5EZU5xVDGTFpZSVfEZ2IIWoGiHMc7JjRkIlhVKn5GXOD4xB0yj-gpxyxTVwrnek2-c8-eDmMEXa4vwNMdL5C9JuSVtz6unBDcOKHJF6l5BmTMfgkbrY0byU-ugGGooO0xhiqb2LHlPRzQHjnF-Rk94NGV8__Wfk7sPV7eV1dfP546fL_U3lFTNzBcZ54xroddsicHCiBd0arJXCGriWfe20wI416GuhW6967CW2rdDKey3FGXm_-R7S9HXBPNsxZI_D4CJOS7ZQ10yC4sAK-u4v9GFaUtl9pZQ2nNV1_Yu6dwPaEPtpTs6vpnYvudBCGdMU6vwfVHkdjsFPEftQ-n8IYBP4NOWcsLeHFEaXHi0wuyZrt2RtSdauydr1trdPCy_tiN1PxY8oC8A3IJdRvMf020X_df0OZXOtgg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1658920666</pqid></control><display><type>article</type><title>Association between the duration of palliative care service and survival in terminal cancer patients</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Lee, Yong Joo ; Yang, Jung-Hwa ; Lee, Jung-Wook ; Yoon, Johi ; Nah, Jung-Ran ; Choi, Whan-Seok ; Kim, Chul-min</creator><creatorcontrib>Lee, Yong Joo ; Yang, Jung-Hwa ; Lee, Jung-Wook ; Yoon, Johi ; Nah, Jung-Ran ; Choi, Whan-Seok ; Kim, Chul-min</creatorcontrib><description>Purpose
Preliminary studies of early palliative care showed improved quality of life, less medical cost, and better survival time. But, most terminal cancer patients tend to be referred to palliative care late. For the proper care of terminal cancer patients, it is necessary to refer to hospice and palliative care timely. The aim of this study is to analyze the effect of the duration of palliative care services on the survival in terminal cancer patients.
Methods
We reviewed 609 patients who had died from terminal cancer between January 2010 and December 2012. We analyzed correlations of age, first Palliative Performance Scale (PPS) level, duration of palliative care service, and survival time. The Cox proportional hazards regression model was used for both univariate and multivariate analyses of survival.
Results
Duration of palliative care services was significantly correlated with survival time. In univariate Cox regression analysis, age, and each group of duration of palliative care service showed significant associations with survival. Final multivariate Cox regression model retained four parameters as independent prognostic factors for survival (age HR = 0.99 (
p
= 0.002), 1∼10 days HR = 2.64 (
p
< 0.001), 11∼30 days HR = 2.43 (
p
< 0.001), 31∼90 days HR = 1.87 (
p
< 0.001)).
Conclusions
Shorter duration of palliative care services showed poor prognostic factor. Timely referral system from the end of chemotherapy is warranted.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-014-2444-4</identifier><identifier>PMID: 25281228</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Cancer ; Cancer patients ; Care and treatment ; Chemotherapy ; Disease Progression ; Early Medical Intervention - methods ; Female ; Hospices ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate Analysis ; Neoplasms - mortality ; Neoplasms - therapy ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Palliative care ; Palliative Care - methods ; Patient outcomes ; Proportional Hazards Models ; Prospective payment systems (Medical care) ; Quality of Life ; Referral and Consultation ; Rehabilitation Medicine ; Survival analysis ; Survivors - statistics & numerical data ; Terminal Care - methods ; Time Factors</subject><ispartof>Supportive care in cancer, 2015-04, Vol.23 (4), p.1057-1062</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>COPYRIGHT 2015 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-19ac9a71f8bbe121a3b18b9e655e61284f6a83ed07ec638bc5fef4ebb385cc843</citedby><cites>FETCH-LOGICAL-c509t-19ac9a71f8bbe121a3b18b9e655e61284f6a83ed07ec638bc5fef4ebb385cc843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00520-014-2444-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00520-014-2444-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27906,27907,41470,42539,51301</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25281228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Yong Joo</creatorcontrib><creatorcontrib>Yang, Jung-Hwa</creatorcontrib><creatorcontrib>Lee, Jung-Wook</creatorcontrib><creatorcontrib>Yoon, Johi</creatorcontrib><creatorcontrib>Nah, Jung-Ran</creatorcontrib><creatorcontrib>Choi, Whan-Seok</creatorcontrib><creatorcontrib>Kim, Chul-min</creatorcontrib><title>Association between the duration of palliative care service and survival in terminal cancer patients</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
Preliminary studies of early palliative care showed improved quality of life, less medical cost, and better survival time. But, most terminal cancer patients tend to be referred to palliative care late. For the proper care of terminal cancer patients, it is necessary to refer to hospice and palliative care timely. The aim of this study is to analyze the effect of the duration of palliative care services on the survival in terminal cancer patients.
Methods
We reviewed 609 patients who had died from terminal cancer between January 2010 and December 2012. We analyzed correlations of age, first Palliative Performance Scale (PPS) level, duration of palliative care service, and survival time. The Cox proportional hazards regression model was used for both univariate and multivariate analyses of survival.
Results
Duration of palliative care services was significantly correlated with survival time. In univariate Cox regression analysis, age, and each group of duration of palliative care service showed significant associations with survival. Final multivariate Cox regression model retained four parameters as independent prognostic factors for survival (age HR = 0.99 (
p
= 0.002), 1∼10 days HR = 2.64 (
p
< 0.001), 11∼30 days HR = 2.43 (
p
< 0.001), 31∼90 days HR = 1.87 (
p
< 0.001)).
Conclusions
Shorter duration of palliative care services showed poor prognostic factor. Timely referral system from the end of chemotherapy is warranted.</description><subject>Adult</subject><subject>Aged</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Care and treatment</subject><subject>Chemotherapy</subject><subject>Disease Progression</subject><subject>Early Medical Intervention - methods</subject><subject>Female</subject><subject>Hospices</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Neoplasms - mortality</subject><subject>Neoplasms - therapy</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Patient outcomes</subject><subject>Proportional Hazards Models</subject><subject>Prospective payment systems (Medical care)</subject><subject>Quality of Life</subject><subject>Referral and Consultation</subject><subject>Rehabilitation Medicine</subject><subject>Survival analysis</subject><subject>Survivors - statistics & numerical data</subject><subject>Terminal Care - methods</subject><subject>Time Factors</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kUtr3TAQhUVpaG7T_oBuiqCbbpxo9LCl5SWkTSHQTbIWsjxOFWz5VrJvyb-vjNMnLVpomPnOYYZDyBtg58BYc5EZU5xVDGTFpZSVfEZ2IIWoGiHMc7JjRkIlhVKn5GXOD4xB0yj-gpxyxTVwrnek2-c8-eDmMEXa4vwNMdL5C9JuSVtz6unBDcOKHJF6l5BmTMfgkbrY0byU-ugGGooO0xhiqb2LHlPRzQHjnF-Rk94NGV8__Wfk7sPV7eV1dfP546fL_U3lFTNzBcZ54xroddsicHCiBd0arJXCGriWfe20wI416GuhW6967CW2rdDKey3FGXm_-R7S9HXBPNsxZI_D4CJOS7ZQ10yC4sAK-u4v9GFaUtl9pZQ2nNV1_Yu6dwPaEPtpTs6vpnYvudBCGdMU6vwfVHkdjsFPEftQ-n8IYBP4NOWcsLeHFEaXHi0wuyZrt2RtSdauydr1trdPCy_tiN1PxY8oC8A3IJdRvMf020X_df0OZXOtgg</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Lee, Yong Joo</creator><creator>Yang, Jung-Hwa</creator><creator>Lee, Jung-Wook</creator><creator>Yoon, Johi</creator><creator>Nah, Jung-Ran</creator><creator>Choi, Whan-Seok</creator><creator>Kim, Chul-min</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Association between the duration of palliative care service and survival in terminal cancer patients</title><author>Lee, Yong Joo ; Yang, Jung-Hwa ; Lee, Jung-Wook ; Yoon, Johi ; Nah, Jung-Ran ; Choi, Whan-Seok ; Kim, Chul-min</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-19ac9a71f8bbe121a3b18b9e655e61284f6a83ed07ec638bc5fef4ebb385cc843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cancer</topic><topic>Cancer patients</topic><topic>Care and treatment</topic><topic>Chemotherapy</topic><topic>Disease Progression</topic><topic>Early Medical Intervention - methods</topic><topic>Female</topic><topic>Hospices</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Neoplasms - mortality</topic><topic>Neoplasms - therapy</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Palliative care</topic><topic>Palliative Care - methods</topic><topic>Patient outcomes</topic><topic>Proportional Hazards Models</topic><topic>Prospective payment systems (Medical care)</topic><topic>Quality of Life</topic><topic>Referral and Consultation</topic><topic>Rehabilitation Medicine</topic><topic>Survival analysis</topic><topic>Survivors - statistics & numerical data</topic><topic>Terminal Care - methods</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Yong Joo</creatorcontrib><creatorcontrib>Yang, Jung-Hwa</creatorcontrib><creatorcontrib>Lee, Jung-Wook</creatorcontrib><creatorcontrib>Yoon, Johi</creatorcontrib><creatorcontrib>Nah, Jung-Ran</creatorcontrib><creatorcontrib>Choi, Whan-Seok</creatorcontrib><creatorcontrib>Kim, Chul-min</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Yong Joo</au><au>Yang, Jung-Hwa</au><au>Lee, Jung-Wook</au><au>Yoon, Johi</au><au>Nah, Jung-Ran</au><au>Choi, Whan-Seok</au><au>Kim, Chul-min</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between the duration of palliative care service and survival in terminal cancer patients</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>23</volume><issue>4</issue><spage>1057</spage><epage>1062</epage><pages>1057-1062</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
Preliminary studies of early palliative care showed improved quality of life, less medical cost, and better survival time. But, most terminal cancer patients tend to be referred to palliative care late. For the proper care of terminal cancer patients, it is necessary to refer to hospice and palliative care timely. The aim of this study is to analyze the effect of the duration of palliative care services on the survival in terminal cancer patients.
Methods
We reviewed 609 patients who had died from terminal cancer between January 2010 and December 2012. We analyzed correlations of age, first Palliative Performance Scale (PPS) level, duration of palliative care service, and survival time. The Cox proportional hazards regression model was used for both univariate and multivariate analyses of survival.
Results
Duration of palliative care services was significantly correlated with survival time. In univariate Cox regression analysis, age, and each group of duration of palliative care service showed significant associations with survival. Final multivariate Cox regression model retained four parameters as independent prognostic factors for survival (age HR = 0.99 (
p
= 0.002), 1∼10 days HR = 2.64 (
p
< 0.001), 11∼30 days HR = 2.43 (
p
< 0.001), 31∼90 days HR = 1.87 (
p
< 0.001)).
Conclusions
Shorter duration of palliative care services showed poor prognostic factor. Timely referral system from the end of chemotherapy is warranted.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25281228</pmid><doi>10.1007/s00520-014-2444-4</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2015-04, Vol.23 (4), p.1057-1062 |
| issn | 0941-4355 1433-7339 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1660415210 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Cancer Cancer patients Care and treatment Chemotherapy Disease Progression Early Medical Intervention - methods Female Hospices Humans Male Medicine Medicine & Public Health Middle Aged Multivariate Analysis Neoplasms - mortality Neoplasms - therapy Nursing Nursing Research Oncology Original Article Pain Medicine Palliative care Palliative Care - methods Patient outcomes Proportional Hazards Models Prospective payment systems (Medical care) Quality of Life Referral and Consultation Rehabilitation Medicine Survival analysis Survivors - statistics & numerical data Terminal Care - methods Time Factors |
| title | Association between the duration of palliative care service and survival in terminal cancer patients |
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