Cited 3 times in
A Prognostic Model to Facilitate Palliative Care Referral in Oncology Outpatients
DC Field | Value | Language |
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dc.contributor.author | 이시원 | - |
dc.date.accessioned | 2023-06-02T00:38:35Z | - |
dc.date.available | 2023-06-02T00:38:35Z | - |
dc.date.issued | 2022-04 | - |
dc.identifier.issn | 1598-2998 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/194323 | - |
dc.description.abstract | Purpose: We aimed to develop a prognostic model to assist palliative care referral at least 3 months before death in advanced cancer patients treated at an outpatient medical oncology clinic. Materials and methods: In this prospective cohort study, a total of 200 patients were enrolled at a tertiary cancer center in South Korea. The major eligibility criterion was an expected survival of less than a year as estimated by their oncologists. We analyzed the influences of known prognostic factors along with chemotherapy status, mid-arm circumference, and triceps skinfold thickness on survival time. Results: The mean age of the patients was 64.5 years, 36% were female, and the median survival time was 7.6 months. In the multivariate analysis, we found 6 significant factors related to poor survival: a poor Eastern Cooperative Oncology Group (ECOG) performance status (≥2), not undergoing chemotherapy, anorexia, a low lymphocyte level (<12%), a high lactate dehydrogenase (LDH) level (≥300 IU/L), and a low mid-arm circumference (<23 cm). We developed a prognostic model (score, 0-8.0) to predict 3-month survival based on the multivariate analysis. Patients who scored ≥4.0 points had a short survival of less than 3 months (p<0.001). The discriminating ability of the prognostic model using the area under the receiver operating characteristic curve (AUC) was 0.88. Conclusion: The prognostic model using ECOG performance status, chemotherapy status, anorexia, lymphocytes, LDH, and mid-arm circumference can predict 3-month survival in medical oncology outpatients. It can alert oncologists to refer patients to palliative care specialists before it is too late. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English, Korean | - |
dc.publisher | Official journal of Korean Cancer Association | - |
dc.relation.isPartOf | CANCER RESEARCH AND TREATMENT | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Anorexia | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Medical Oncology | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Outpatients* | - |
dc.subject.MESH | Palliative Care* | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Referral and Consultation | - |
dc.subject.MESH | Retrospective Studies | - |
dc.title | A Prognostic Model to Facilitate Palliative Care Referral in Oncology Outpatients | - |
dc.type | Article | - |
dc.contributor.college | Others | - |
dc.contributor.department | Palliative Care Center (완화의료센터) | - |
dc.contributor.googleauthor | Yu Jung Kim | - |
dc.contributor.googleauthor | Yusuke Hiratsuka | - |
dc.contributor.googleauthor | Sang-Yeon Suh | - |
dc.contributor.googleauthor | Beodeul Kang | - |
dc.contributor.googleauthor | Si Won Lee | - |
dc.contributor.googleauthor | Hong-Yup Ahn | - |
dc.contributor.googleauthor | Koung Jin Suh | - |
dc.contributor.googleauthor | Ji-Won Kim | - |
dc.contributor.googleauthor | Se Hyun Kim | - |
dc.contributor.googleauthor | Jin Won Kim | - |
dc.contributor.googleauthor | Keun-Wook Lee | - |
dc.contributor.googleauthor | Jee Hyun Kim | - |
dc.contributor.googleauthor | Jong Seok Lee | - |
dc.identifier.doi | 10.4143/crt.2021.483 | - |
dc.contributor.localId | A06029 | - |
dc.relation.journalcode | J00453 | - |
dc.identifier.eissn | 2005-9256 | - |
dc.identifier.pmid | 34265891 | - |
dc.subject.keyword | Neoplasms | - |
dc.subject.keyword | Palliative care | - |
dc.subject.keyword | Prognosis | - |
dc.subject.keyword | Survival | - |
dc.contributor.alternativeName | Lee, Si Won | - |
dc.contributor.affiliatedAuthor | 이시원 | - |
dc.citation.volume | 54 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 621 | - |
dc.citation.endPage | 629 | - |
dc.identifier.bibliographicCitation | CANCER RESEARCH AND TREATMENT, Vol.54(2) : 621-629, 2022-04 | - |
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