Autor: |
Cai J; 1 School of Economics, Wuhan University of Technology, Wuhan, Hubei, China.; 2 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada., Guerriere DN; 2 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada., Zhao H; 1 School of Economics, Wuhan University of Technology, Wuhan, Hubei, China., Coyte PC; 2 Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada. |
Abstrakt: |
The main objective of this study was to examine whether and how the Palliative Performance Scale (PPS), a measure of a patient's function, was predictive of survival time for those in receipt of home-based palliative care. This was a prospective study, which included 194 cancer patients from November 17, 2013, to August 18, 2015. Data were collected from biweekly telephone interviews with caregivers. Kaplan-Meier survival curves were estimated to assess how survival time was correlated with initial PPS scores after admission to the home-based palliative care program. A multivariate extended Cox regression model was used to examine the association between PPS and survival. The results showed that patients with higher PPS scores, that is, better function, had a lower hazard ratio (0.977; 95% confidence interval: 0.965-0.989) and hence longer survival times. The PPS can be used in predicting survival time for home-based palliative care patients. |