Predicting survival with the Palliative Performance Scale in a minority-serving hospice and palliative care program.

Predicting survival with the Palliative Performance Scale in a minority-serving hospice and palliative care program.
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DOI:
10.1016/j.jpainsymman.2008.03.023
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发表时间:
2009-04
影响因子:
4.7
通讯作者:
Durham, Jan
Durham, Jan
中科院分区:
医学2区
文献类型:
--
作者:
Weng, Li-Chueh;Huang, Hsiu-Li;Wilkie, Diana J.;Hoenig, Noreen A.;Suarez, Marie L.;Marschke, Michael;Durham, Jan

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姑息性行为量表(PPS)评分已显示出在白人样本中预测生存率的潜力,但尚未研究其在少数群体癌症患者中的预后价值。使用从492名癌症患者的回顾性图表审计中获得的数据,这些患者在18个月的时间内入住少数民族服务的家庭临终关怀和姑息治疗计划,我们研究了PPS评分与生存时间(生存天数)之间的关系。PPS评分为10%~ 30%的患者生存天数少于评分为40%和50%~ 100%的患者(中位数分别为6、19和34天; F = 25.02,P < 0.001)。对于需要两周完成的研究,PPS评分为40%是可靠的入选标准,而对于三周的研究,PPS评分为50%至100%是可靠的入选标准。主要少数民族样本的结果与主要白人样本的结果相似。
Palliative Performance Scale (PPS) scores have shown potential for prognosticating survival in Caucasian samples, but have not been studied for prognostic value in cancer patients from minority groups. Using data obtained from a retrospective chart audit of 492 cancer patients admitted over an 18-month period to a minority-serving home-based hospice and palliative care program, we examined the relationship between PPS scores and length of survival (survival days). Patients with PPS scores of 10% to 30% had fewer survival days than those with scores of 40% and those with scores of 50% to 100% (median = 6, 19, and 34 days, respectively; F = 25.02, P < 0.001). A PPS score of 40% serves as a reliable inclusion criterion for a study requiring two weeks for completion, while 50% to 100% is required for a three-week study. Findings from a predominantly minority sample are similar to those from predominantly Caucasian samples.
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