scholarly journals Validation of a Palliative Prognostic Index to Predict Life Expectancy for Terminally Ill Cancer Patients in a Hospice Consultation Setting in Taiwan

2012 ◽  
Vol 13 (6) ◽  
pp. 2861-2866 ◽  
Author(s):  
Wei-Hong Cheng ◽  
Chen-Yi Kao ◽  
Yu-Shin Hung ◽  
Po-Jung Su ◽  
Chia-Hsun Hsieh ◽  
...  
2011 ◽  
Vol 20 (4) ◽  
pp. 857-864 ◽  
Author(s):  
Jean-Philippe Durand ◽  
Olivier Mir ◽  
Romain Coriat ◽  
Anatole Cessot ◽  
Sylvain Pourchet ◽  
...  

2005 ◽  
Vol 13 (9) ◽  
pp. 733-742 ◽  
Author(s):  
Josephine M. Clayton ◽  
Phyllis N. Butow ◽  
Robert M. Arnold ◽  
Martin H. N. Tattersall

2008 ◽  
Vol 26 (15_suppl) ◽  
pp. 20545-20545
Author(s):  
J. Durand ◽  
V. Montheil ◽  
J. Alexandre ◽  
S. Ropert ◽  
S. Pourchet ◽  
...  

2005 ◽  
Vol 23 (27) ◽  
pp. 6607-6612 ◽  
Author(s):  
Marije L. van der Lee ◽  
Johanna G. van der Bom ◽  
Nikkie B. Swarte ◽  
A. Peter M. Heintz ◽  
Alexander de Graeff ◽  
...  

Purpose To study the association between depression and the incidence of explicit requests for euthanasia in terminally ill cancer patients. Patients and Methods A prospective cohort study was conducted on 138 consecutive cancer patients with an estimated life expectancy of 3 months or less, in the period between September 1999 and August 2003. At inclusion, participants completed the Hospital Anxiety and Depression Scale. To identify “depressed mood” we used a cutoff score of 20. Kaplan-Meier curves and Cox regression analyses were used to assess the association between depressed mood and the risk of a request for euthanasia. Results Of 138 patients, 32 patients had depressed mood at inclusion. Thirty patients (22%) made an explicit request for euthanasia. The risk to request euthanasia for patients with depressed mood was 4.1 times higher than that of patients without depressed mood at inclusion (95% CI, 2.0 to 8.5). Conclusion Depression in cancer patients with an estimated life expectancy of less than 3 months is associated with a higher likelihood to request for euthanasia. The question of whether depressed mood can adequately be treated in this terminally ill population, and if so, whether it would lower the incidence of requests for euthanasia needs further investigation.


Author(s):  
Ryo Matsunuma ◽  
Takashi Yamaguchi ◽  
Masanori Mori ◽  
Tomoo Ikari ◽  
Kozue Suzuki ◽  
...  

Background: Predictive factors for the development of dyspnea have not been reported among terminally ill cancer patients. Objective: This current study aimed to identify the predictive factors attributed to the development of dyspnea within 7 days after admission among patients with cancer. Methods: This was a secondary analysis of a multicenter prospective observational study on the dying process among patients admitted in inpatient hospices/palliative care units. Patients were divided into 2 groups: those who developed dyspnea (development group) and those who did not (non-development group). To determine independent predictive factors, univariate and multivariate analyses using the logistic regression model were performed. Results: From January 2017 to December 2017, 1159 patients were included in this analysis. Univariate analysis showed that male participants, those with primary lung cancer, ascites, and Karnofsky Performance Status score (KPS) of ≤40, smokers, and benzodiazepine users were significantly higher in the development group. Multivariate analysis revealed that primary lung cancer (odds ratio [OR]: 2.80, 95% confidence interval [95% CI]: 1.47-5.31; p = 0.002), KPS score (≤40) (OR: 1.84, 95% CI: 1.02-3.31; p = 0.044), and presence of ascites (OR: 2.34, 95% CI: 1.36-4.02; p = 0.002) were independent predictive factors for the development of dyspnea. Conclusions: Lung cancer, poor performance status, and ascites may be predictive factors for the development of dyspnea among terminally ill cancer patients. However, further studies should be performed to validate these findings.


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