AI Article Synopsis

  • - The study focused on identifying factors that contribute to prolonged survival in cancer patients admitted to palliative care, specifically those living over one year after admission.
  • - Researchers conducted a retrospective case-control study using electronic records from 2012 to 2018, comparing data from patients who survived over a year to those who survived 6 months or less, identifying 1721 total patients.
  • - Key findings indicated that higher hemoglobin levels and specific creatinine levels positively correlated with longer survival, while conditions like abnormal cognition and liver metastases were linked to shorter lifespans; further research is needed to confirm these results.

Article Abstract

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. 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. 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. Several factors were statistically associated positively or negatively with prolonged survival. However, the data of this study should be confirmed in other studies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11097604PMC
http://dx.doi.org/10.1177/08258597241231005DOI Listing

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