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KMID : 0856920070100040178
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Journal of Hospice and Palliative Care
2007 Volume.10 No. 4 p.178 ~ p.183
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Prognostic Factors and Clinical Characteristics of Terminally Ill Patients with Gastric Cancer
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Kim Soo-Jae
Moon Do-Ho
Lee Choon-Sub
Lee Jung-Ho
Kim Tae-Gyun
Park Jung-Chul
Lee Ji-Eun
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Abstract
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Purpose: The prevalence and mortality of gastric cancer is high. We studied clinical characteristics and prognostic factors of the advanced gastric cancer patients who had died in the hospice care unit. and our study is the basic report for efficient hospice and palliative care for the terminally ill patients with gastric cancer.
Methods: We retrospectively reviewed the medical records of 99 advanced gastric cancer patients who had died in a hospice care unit from May 2004 to August 2007. The survival days during the hospice and palliative care were analyzed using Kaplan-Meier method of SPSS version 13.0.
Results: There were 62 males (63%) and 37 females (37%). Median age of patients was 60.9 years and liver metastasis was as high as 38 patients (38%) of all. The most prevalent symptom of admission was general weakness (97%) and poor oral intake (86%). There were also hypoalbuminemia (88%), anemia (73%), and hyponatremia (61%). Palliative procedure was perfomed on 17 (63%) out of 27 patients with intestinal obstruction. Of these stents were inserted to 11 patients. The scores of ECOGPS and dyspnea were significantly correlated with the length of survival. The duration of median survival and hospitalization in the hospice and palliative care was 22 days and was 20 days respectively.
Conclusion: We need to study more about clinical characteristics of advanced gastric cancer patients to predict the length of survival for an effective hospice and palliative care. (Korean J Hosp Palliat Care 2007;10:178-183)
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KEYWORD
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Advanced gastric cancer, Prognostic factor, Length of survival
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