AI Article Synopsis
- - The study explored the link between spiritual well-being (SWB) and survival time in hospitalized cancer patients across Japan, South Korea, and Taiwan, focusing on psychosocial factors influencing patient outcomes.
- - It included data from 2,638 patients in palliative care units, finding median survival times of 18.0 days in Japan, 23.0 days in Korea, and 15.0 days in Taiwan, with significant results for SWB only in Taiwan.
- - The findings highlight that SWB at admission could positively impact survival for advanced cancer patients in Taiwan, suggesting the potential benefits of incorporating spiritual care in treatment plans.
Article Abstract
Objectives: It has been suggested that psychosocial factors are related to survival time of inpatients with cancer. However, there are not many studies examining the relationship between spiritual well-being (SWB) and survival time among countries. This study investigated the relationship between SWB and survival time among three East Asian countries.
Methods: This international multicenter cohort study is a secondary analysis involving newly admitted inpatients with advanced cancer in palliative care units in Japan, South Korea, and Taiwan. SWB was measured using the Integrated Palliative Outcome Scale (IPOS) at admission. We performed multivariate analysis using the Cox proportional hazards model to identify independent prognostic factors.
Results: A total of 2,638 patients treated at 37 palliative care units from January 2017 to September 2018 were analyzed. The median survival time was 18.0 days (95% confidence interval [CI] 16.5-19.5) in Japan, 23.0 days (95% CI 19.9-26.1) in Korea, and 15.0 days (95% CI 13.0-17.0) in Taiwan. SWB was a significant factor correlated with survival in Taiwan (hazard ratio [HR] 1.27; 95% CI 1.01-1.59; = 0.04), while it was insignificant in Japan (HR 1.10; 95% CI 1.00-1.22; = 0.06), and Korea (HR 1.02; 95% CI 0.77-1.35; = 0.89).
Significance Of Results: SWB on admission was associated with survival in patients with advanced cancer in Taiwan but not Japan or Korea. The findings suggest the possibility of a positive relationship between spiritual care and survival time in patients with far advanced cancer.
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| http://dx.doi.org/10.1017/S1478951522000682 | DOI Listing |
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