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J Palliat Care ; 39(3): 244-252, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38374645

RESUMEN

Objective: Some patients with cancer admitted to palliative care have relatively long survivals of 1 year or more. The objective of this study was to find out factors associated with prolonged survival. Methods: Retrospective case-control study comparing the available data of patients with cancer who survived more than 1 year after admission in a palliative care service with patients with cancer who survived 6 months or less. The intended proportion was 4 controls for each case. Patients were identified through electronic records from 2012 until 2018. Results: And 1721 patients were identified. Of those patients, 111 (6.4%) survived for at least 1 year, and 363 (21.1%) were included as controls according to the established criteria. The intended proportion could not be reached; the proportion was only 3.3:1. The median survival of cases was 581 days (range: 371-2763), and the median survival of controls was 57 days (range: 1-182). In the multivariable analysis, patients with a hemoglobin ≥ 10.6 g/dL and a creatinine level >95 µmol/L had a higher probability of living more than 1 year. In contrast, patients with abnormal cognition, pain, anorexia, liver metastases, an Eastern Cooperative Oncology Group performance status >1, and a neutrophil/lymphocyte ratio ≥ 3.43 had a low probability of living more than 1 year. Conclusion: Several factors were statistically associated positively or negatively with prolonged survival. However, the data of this study should be confirmed in other studies.


Asunto(s)
Neoplasias , Cuidados Paliativos , Humanos , Masculino , Femenino , Cuidados Paliativos/estadística & datos numéricos , Neoplasias/mortalidad , Neoplasias/terapia , Persona de Mediana Edad , Estudios Retrospectivos , Anciano , Estudios de Casos y Controles , Anciano de 80 o más Años , Adulto , Análisis de Supervivencia
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