End-of-Life Care in Patients With Lung Cancer*

Griffin, John P.; Nelson, Judith E.; Koch, Kathryn A.; Niell, Harvey B.; Ackerman, Terrence F.; Thompson, M. J.; Cole, Francis H.

doi:10.1378/chest.123.1_suppl.312s

Cited by 56 publications

(43 citation statements)

References 109 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The patients suffer not only from physical symptoms but also from a life crisis due to their impending death, since these patients are commonly diagnosed with depression, especially those with advanced disease and functional limitations. (21)(22)(23) However, a relationship between this domain and advanced stages of the disease, by means of the analysis of the logistic regression model, was not found in the present study.…”

Section: Resultscontrasting

confidence: 92%

Avaliação da qualidade de vida em pacientes com câncer de pulmão através da aplicação do questionário Medical Outcomes Study 36-item Short-Form Health Survey

et al. 2008

View full text Add to dashboard Cite

Objective: To assess the quality of life of patients with lung cancer and to compare it with that of individuals without cancer. Methods: The Medical Outcomes Study 36-item Short-Form Health Survey (SF-36) was administered to 57 patients diagnosed with lung cancer, treated at the Lung Cancer Outpatient Clinic of the Hospital São Paulo, and to a control group of 57 individuals recruited from the Extra Penha workout group. The Mann-Whitney test was used to compare the groups, domain by domain. The first model of logistic regression was adjusted for male gender, nonsurgical treatment, Karnofsky performance status and smoking, which were included as predictors. The second model was adjusted for each SF-36 domain in order to identify increases in the proportions of patients in stage IIIB or IV. Results: The lung cancer group and the control group presented the following mean scores, respectively, for the SF-36 domains: role limitations due to physical health problems, 29. ResumoObjetivo: Avaliar a qualidade de vida de pacientes com câncer de pulmão e compará-la com a qualidade de vida de indivíduos sem câncer. foi aplicado em 57 pacientes com diagnóstico de câncer de pulmão provenientes do Ambulatório de Oncopneumologia do Hospital São Paulo e em um grupo controle de 57 indivíduos participantes do Grupo de Ginástica Extra Penha. O teste de Mann-Whitney foi utilizado para comparar cada domínio entre os grupos. O primeiro modelo de regressão logística foi ajustado para sexo masculino, tratamento não cirúrgico, índice de Karnofsky e tabagismo, que foram incluídos como preditores. O segundo modelo foi ajustado para cada domínio do SF-36 para identificar aumento na proporção de estádios IIIB e IV. Resultados: O grupo com câncer de pulmão e o grupo controle apresentaram, respectivamente, as seguintes pontuações médias para os domínios do 29,39 ± 36,94 e 82,89 ± 28,80; aspectos emocionais, 42,78 ± 44,78 e 86,55 ± 28,77; capacidade funcional, 56,49 ± 28,39 e 89,00 ± 13,80; vitalidade, 61,61 ± 23,82 e 79,12 ± 17,68; dor, 62,72 ± 28,72 e 81,54 ± 19,07; estado geral de saúde, 62,51 ± 25,57 e 84,47 ± 13,47; saúde mental, 68,28 ± 23,46 e 82,63 ± 17,44; e aspectos sociais, 72,87 ± 29,20 e 91,67 ± 17,44. O modelo de regressão logística demonstrou que aspectos físicos, capacidade funcional e saúde mental foram preditores de estádios IIIB e IV. Conclusões: Os pacientes com câncer de pulmão apresentaram pior qualidade de vida em relação ao grupo controle, principalmente em relação aos aspectos físicos. Métodos: O questionário Medical Outcomes Study 36-item Short-Form Health SurveyDescritores: Neoplasias pulmonares; Qualidade de vida; Nível de saúde.

show abstract

Section: Resultscontrasting

confidence: 92%

Avaliação da qualidade de vida em pacientes com câncer de pulmão através da aplicação do questionário Medical Outcomes Study 36-item Short-Form Health Survey

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Informed by focus groups, an expert panel, and review of existing guidelines, [4][5][6][7][8][9][10][11][12][13][14][15][16] we defined high-quality cancer care based on institutions meeting the following needs of cancer patients: health care providers sensitively communicate with patients about their prognosis and promote shared decision making to the extent that patients want to be involved; patients are educated about what they can expect during treatment, what to monitor, and who they can turn to for help; patients are provided with their desired emotional support and symptom amelioration; patients are treated with respect; cancer treatment sessions support comfort, ensure privacy, and promote healing; and care is coordinated among health care providers. Two of these needs (patients are provided with their desired emotional support and symptom amelioration and patients are treated with respect) have existing measures.…”

Section: Methodsmentioning

confidence: 99%

Cancer Patient Assessment and Reports of Excellence: Reliability and Validity of Advanced Cancer Patient Perceptions of the Quality of Care

Teno

Lima

Lyons

2009

JCO

View full text Add to dashboard Cite

A B S T R A C T PurposeConsumer perceptions are important measures of the quality of cancer care. This article describes the validation of new measures of the quality of cancer care at the time of diagnosis and treatment for advanced cancer with life-limiting prognosis. MethodsFocus groups, review of guidelines, and an expert panel were used to construct two surveys of the quality of cancer care. A prospective cohort study examined the reliability and validity of three problem scores (ie, counts of the opportunities to improve the quality of care) that examine care at the time of diagnosis and initial treatment. ResultsAt the first interview, 58% of 206 cancer patients (54.9% females; 27.5% with lung cancer; 5.4% with pancreatic cancer; 30.4% with colorectal cancer; 18.6% with breast cancer; mean age, 66.6 years) identified one or more concerns with communication about being diagnosed with advanced cancer. At the second interview, 57.0% of the respondents voiced one or more concerns about treatment communication, and 30.2% expressed one or more concerns about the experience of treatment. Each of the problem scores demonstrated both internal consistency with Cronbach's ␣ Ͼ .75 and short-term stability of responses in a subsample that had the survey administered twice in 72 hours. Factor analysis largely confirmed the proposed scale structure. All three measures demonstrated moderate correlations suggesting evidence of construct validity. ConclusionThe three proposed problem scores demonstrate evidence of reliability and validity that warrants further testing to examine their responsiveness and discriminate validity in larger, more generalizable samples.

show abstract

“…2 Over the past 2 decades, there has been growing concern about care near the end of life in individuals with advanced cancer and other terminal illnesses. 3 Barnato et al 4 showed that the proportion of fee-for-service Medicare beneficiaries with one or more ICU admissions in the last year of life increased from 30.5% in 1985 to 35% in 1999. One in five to one in eight decedents received ICU care during a terminal hospitalization; end-of-life ICU use increased with increasing age and comorbidity.…”

mentioning

confidence: 99%