Factors Associated With Long Survival in Patients With Cancer Admitted to Palliative Care: An Exploratory Study.

Autor:	Ferraz-Gonçalves JA; Faculty of Medicine, Porto University, Porto, Portugal.; Department of Palliative Care, Portuguese Oncology Institute of Porto, Porto, Portugal., Alves A; Department of Pneumology, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal., Silva ÁJ; Faculty of Medicine, Porto University, Porto, Portugal.; Condestável Family Health Unit, Department of General and Family Medicine, Batalha, Portugal., Valente AC; Department of Medical Oncology, Centro Hospitalar e Universitário de S. João, Porto, Portugal., Pina A; Department of Medical Oncology, Portuguese Oncology Institute of Lisbon, Lisbon, Portugal., Lima Á; Department of Medical Oncology, Portuguese Oncology Institute of Porto, Porto, Portugal.; CESPU, Cooperativa de Ensino Superior Politécnico e Universitário, Gandra, Portugal., Antunes D; Centro Hospitalar de Leiria, Leiria, Portugal., Cubal F; Department of Clinical Hematology, Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal., Costa I; Department of Palliative Care, Portuguese Oncology Institute of Porto, Porto, Portugal., Rodrigues J; Department of Medical Oncology, Braga Hospital, Braga, Portugal., Costa M; Department of Medical Oncology, Centro Hospitalar e Universitário de S. João, Porto, Portugal., Ramos M; Department of Internal Medicina, Hospital de Santarém, Santarém, Portugal., Luis M; Department of Palliative Care, Portuguese Oncology Institute of Porto, Porto, Portugal., Soares SG; Department of Internal Medicine, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal., Sousa S; Serviço de Pneumologia do Hospital de Braga, Braga, Portugal., Moreira TD; Department of Palliative Care, Portuguese Oncology Institute of Porto, Porto, Portugal., Sá-Araújo V; Department of Palliative Care, Portuguese Oncology Institute of Porto, Porto, Portugal., Bento MJ; Group of Epidemiology, Results, Economy and Management in Oncology, IPO Porto Research Center (CI-IPOP), Portuguese Oncology Institute of Porto (IPO Porto), Portugal.; Department of Epidemiology, Portuguese Oncology Institute of Porto (IPO Porto), Porto, Portugal.; Population Studies Department. School of Medicine and Biomedical Sciences, ICBAS, University of Porto, Porto, Portugal.
Jazyk:	angličtina
Zdroj:	Journal of palliative care [J Palliat Care] 2024 Jul; Vol. 39 (3), pp. 244-252. Date of Electronic Publication: 2024 Feb 19.
DOI:	10.1177/08258597241231005
Abstrakt:	Objective: Some patients with cancer admitted to palliative care have relatively long survivals of 1 year or more. The objective of this study was to find out factors associated with prolonged survival. Methods: Retrospective case-control study comparing the available data of patients with cancer who survived more than 1 year after admission in a palliative care service with patients with cancer who survived 6 months or less. The intended proportion was 4 controls for each case. Patients were identified through electronic records from 2012 until 2018. Results: And 1721 patients were identified. Of those patients, 111 (6.4%) survived for at least 1 year, and 363 (21.1%) were included as controls according to the established criteria. The intended proportion could not be reached; the proportion was only 3.3:1. The median survival of cases was 581 days (range: 371-2763), and the median survival of controls was 57 days (range: 1-182). In the multivariable analysis, patients with a hemoglobin ≥ 10.6 g/dL and a creatinine level >95 µmol/L had a higher probability of living more than 1 year. In contrast, patients with abnormal cognition, pain, anorexia, liver metastases, an Eastern Cooperative Oncology Group performance status >1, and a neutrophil/lymphocyte ratio ≥ 3.43 had a low probability of living more than 1 year. Conclusion: Several factors were statistically associated positively or negatively with prolonged survival. However, the data of this study should be confirmed in other studies. Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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