TITLE

A proposed prognostic 7-day survival formula for patients with terminal cancer

AUTHOR(S)

Jui-Kun Chiang; Ning-Sheng Lai; Mei-Huang Wang; Shi-Chi Chen; Yee-Hsin Kao

PUB. DATE

January 2009

SOURCE

BMC Public Health;2009, Vol. 9 Issue 1, p365

SOURCE TYPE

Academic Journal

DOC. TYPE

Article

ABSTRACT

Background: The ability to identify patients for hospice care results in better end-of-life care. To develop a validated prognostic scale for 7-day survival prediction, a prospective observational cohort study was made of patients with terminal cancer. Methods: Patient data gathered within 24 hours of hospital admission included demographics, clinical signs and symptoms and their severity, laboratory test results, and subsequent survival data. Of 727 patients enrolled, data from 374 (training group) was used to develop a prognostic tool, with the other 353 serving as the validation group. Results: Five predictors identified by multivariate logistic regression analysis included patient's cognitive status, edema, ECOG performance status, BUN and respiratory rate. A formula of the predictor model based on those five predictors was constructed. When probability was >0.2, death within 7 days was predicted in the training group and validation group, with sensitivity of 80.9% and 71.0%, specificity of 65.9% and 57.7%, positive predictive value of 42.6% and 26.8%, and negative predictive value (NPV) of 91.7% and 90.1%, respectively. Conclusion: This predictor model showed a relatively high sensitivity and NPV for predicting 7- day survival among terminal cancer patients, and could increase patient satisfaction by improving end-of-life care.

ACCESSION #

45197521

 

Related Articles

• The relationship between patient satisfaction with service quality and survival in pancreatic cancer. Gupta, Digant; Markman, Maurie; Rodeghier, Mark; Lis, Christopher G. // Patient Preference & Adherence;2012 Part 2, Vol. 6, p765 

  Purpose: Despite the recognized relevance of symptom burden in pancreatic cancer, there has been limited exploration of whether an individual patient's satisfaction with the overall quality of care received might influence outcome. We evaluated the relationship between patient satisfaction with...

• Doctor, what are my options? A prospective cohort study of an individualized care plan for patients with gastrointestinal cancer. Hird, A. E.; Lemke, M.; Turovsky, M.; Malecki, V.; Kumar, K.; DeAngelis, C.; Chow, E.; Ko, Y. J. // Current Oncology;Jun2015, Vol. 22 Issue 3, pe171 

  Background For cancer patients, information about their disease and its treatment is often delivered within a short time period, potentially leading to patient misunderstanding, which can impede optimal patient care. In this 3-part clinical study, we investigated the utility of an individualized...

• Does the 'Liverpool Care Pathway' facilitate an improvement in quality of care for dying cancer patients? Mayland, C R; Williams, E M I; Addington-Hall, J; Cox, T F; Ellershaw, J E // British Journal of Cancer;5/21/2013, Vol. 108 Issue 10, p1942 

  Background:The Liverpool Care Pathway for the Dying Patient (LCP) aims to transfer hospice principles of care for dying patients to other health-care sectors. This post-bereavement survey explored the LCP's effectiveness in improving quality of care for cancer patients.Methods:Postal...

• Measures of spiritual issues for palliative care patients: a literature review. Vivat, B. // Palliative Medicine;Oct2008, Vol. 22 Issue 7, p859 

  Members of the Quality of Life Group (QLG) of the European Organisation for Research and Treatment of Cancer (EORTC) are developing a stand-alone functional measure of spiritual well being for palliative care patients, which will have both a clinical and a measurement application. This article...

• The Canadian Bladder Cancer Network: efforts to improve patient care. Black, Peter // Canadian Urological Association Journal;Apr2011, Vol. 5 Issue 2, p88 

  In this article the author comments on the reports of the Canadian Bladder Cancer Network (CBCN) involving radical cystectomy for bladder cancer. The author states that the CBCN paper has addressed poor outcome to treatment guidelines that could contribute to the dissatisfactory survival rates...

• Patient satisfaction with service quality as a predictor of survival outcomes in breast cancer. Gupta, Digant; Rodeghier, Mark; Lis, Christopher G. // Supportive Care in Cancer;Jan2014, Vol. 22 Issue 1, p129 

  Purpose: Despite the recognized relevance of symptom burden in breast cancer, there has been limited exploration of whether an individual patient's assessment of the overall quality of care received might influence outcome. We therefore evaluated the relationship between patient-reported...

• Including palliative care at diagnosis is beneficial for patients advanced cancer. Weinstein Kaplan, Bette // Oncology Nurse Advisor;May/Jun2012, Vol. 3 Issue 3, p41 

  No abstract available.

• Use of cancer-specific mental health resources-is there an urban-rural divide? Beraldi, Anna; Kukk, Ene; Nest, Alexandra; Schubert-Fritschle, Gabriele; Engel, Jutta; Heußner, Pia; Herschbach, Peter // Supportive Care in Cancer;May2015, Vol. 23 Issue 5, p1285 

  Purpose: The purpose of this study is to establish whether mental health (MH) outcomes, attitudes towards cancer-specific MH (CSMH) resources, and the availability of such resources differ between rural and urban cancer patients. Methods: Three months after surgery for colorectal cancer,...

• The Relationship between Patient Satisfaction with Service Quality and Survival in Non-Small Cell Lung Cancer – Is Self-Rated Health a Potential Confounder? Lis, Christopher G.; Patel, Kamal; Gupta, Digant // PLoS ONE;7/31/2015, Vol. 10 Issue 7, p1 

  Background/Aims: Previously we reported that higher patient satisfaction (PS) with service quality is associated with favorable survival outcomes in a variety of cancers. However, we cautioned the readers that patients with greater satisfaction might be the ones with better self-rated health...

Read the Article