Association between the duration of palliative care service and survival in terminal cancer patients
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.
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Palliative care has been associated with equal or longer survival in randomized and nonrandomized trials of patients with advanced cancer.
“In distinction from chemotherapy after the second-line setting, palliative care has been associated with equal103–106 or longer107–109 survival in randomized and nonrandomized110 trials of patients with advanced cancer.”
From Systemic Therapy for Stage IV Non–Small-Cell Lung Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update (2015) · cites this paper as [108]
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- Authors
- Lee, Y. J., Yang, J.-H., Lee, J.-W., Yoon, J., Nah, J.-R., Choi, W.-S., & Kim, C.-M.
- Affiliations
- Catholic University of Korea (KR)
- Corresponding author
- Kim, Chul-min
- Venue
- Supportive Care in Cancer
- Published
- 2014-10-04
- Volume
- 23
- Issue
- 4
- Pages
- 1057-1062
- ISSN
- 0941-4355 (ISSN-L)
- 1433-7339
- OpenAlex
- W2084520852
- Cited by
- 43
- References
- 46
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 2 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 5
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Supportive Care in Cancer (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- terminal cancer, survival, prognostic factors, early palliative care, Palliative Performance Scale, age, hospice care, end-of-life care
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Neoplasms, Palliative Care, Quality of Life, Referral and Consultation, Terminal Care, Time Factors, Multivariate Analysis, Proportional Hazards Models, Survivors, Disease Progression, Early Medical Intervention
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