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http://dx.doi.org/10.7314/APJCP.2012.13.7.3357

Follow-Up Study of Survival of Patients with Advanced Cancer in a Hospice Setting

Wang, Yu-Mei (Department of Palliative Care Ward, Shengjing Hospital of China Medical University)
Guo, Hai-Qiang (Department of Public Health, China Medical University)

Publication Information

Asian Pacific Journal of Cancer Prevention / v.13, no.7, 2012 , pp. 3357-3360 More about this Journal

Abstract

Objective: This study was to present the survival of advanced cancer patients and explore the influence of various factors on survival time as well as survival rate. The results provide guidelines for clinical practice of cancer treatment. Methods: Follow-up of 674 advanced cancer patients was performed in a hospice. The median survival time and survival rate were calculated, and survival analysis was carried out. Results: The median survival time of all patients dying from cancer was 12.0 months and the average survival time was 25.1 months. The 1-year cumulative survival rate was $0.518{\pm}0.020$ and the 5-year cumulative survival rate was $0.088{\pm}0.012$ . The following factors showed significant impacts on survival rate: gender, age, primary diagnosis, surgery and the time when pain appeared. Conclusions: The survival time of patients with advanced cancer was relatively short. Major approaches to extend the survival time include early detection, early diagnosis, effective surgical treatment, pain control, reasonable supply of nutrients and multiple interventions.

Keywords

Advanced cancer; survival time; survival analysis; pain;

Citations & Related Records

Reference

1	Aberle DR, Brown K (2008). Lung cancer screening with CT. Clin Chest Med, 29, 1-14. DOI
2	Chen WQ (2009). Estimation of cancer incidence and mortality in China in 2004-2005. Zhonghua Zhong Liu Za Zhi, 31, 664-8.
3	Coche E (2008). Screening for lung cancer with low-dose CT. JBR-BTR, 91, 1-5.
4	Coleman RE, Winter MC, Cameron D, et al (2010). The effects of adding zoledronic acid to neoadjuvant chemotherapy on tumour response: exploratory evidence for direct anti-tumour activity in breast cancer. Br J Cancer, 102, 1099-105. DOI ScienceOn
5	Cook IG, Dummer TJ (2004). Changing health in China: reevaluating the epidemiological transition model. Health Policy, 67, 329-43. DOI
6	Cunningham AJ, Edmonds CV, Jenkins GP, et al (1998). A randomized controlled trial of the effects of group psychological therapy on survival in women with metastatic breast cancer. Psychooncology, 7, 508-17. DOI
7	DeAngelis LM, Seiferheld W, Schold SC, et al (2002). Combination chemotherapy and radiotherapy for primary central nervous system lymphoma: Radiation Therapy Oncology Group Study 93-10. J Clin Oncol, 20, 4643-8. DOI
8	Glare P, Sinclair C, Downing M, et al (2008). Predicting survival in patients with advanced disease. Eur J Cancer, 44, 1146-56. DOI
9	Guo P, Huang ZL, Yu P, Li K (2012). Trends in cancer mortality in China: an update. Ann Oncol.
10	Henry C (2011). National End of Life Care Programme: progress and future directions. Int J Palliat Nurs, 17, 108-112. DOI
11	Morin D, Saint-Laurent L, Bresse MP, et al (2007). The benefits of a palliative care network: a case study in Quebec, Canada. Int J Palliat Nurs, 13, 190-6. DOI
12	O'Brien S, Hatfield AR, Craig PI, Williams SP (1995). A three year follow up of self expanding metal stents in the endoscopic palliation of longterm survivors with malignant biliary obstruction. Gut, 36, 618-21. DOI ScienceOn
13	Peters C, Lotzerich H, Niemeir B, et al (1995). Exercise, cancer and the immune response of monocytes. Anticancer Res, 15, 175-9.
14	Rhodes AR (1995). Public education and cancer of the skin. What do people need to know about melanoma and nonmelanoma skin cancer? Cancer, 75, 613-36. DOI ScienceOn
15	Smith RA, Cokkinides V, Eyre HJ (2006). American Cancer Society guidelines for the early detection of cancer, 2006. CA Cancer J Clin, 56, 11-25; quiz 49-50. DOI
16	Smith R, Williams N, Thomas K (2007). The American way of death. Health Serv J, 117, 28-9.
17	Wang D, Zheng W, Wang SM, et al (2012). Estimation of cancer incidence and mortality attributable to overweight, obesity, and physical inactivity in China. Nutr Cancer, 64, 48-56. DOI
18	Zheng H, Tong L, Hu Y, et al (2011). [Prognostic factors in 408 elderly lung cancer patients more than 70 years old]. Zhongguo Fei Ai Za Zhi, 14, 502-6.