[Clinical impressions of terminal cancer patients as an estimator of time of survival] Export

@article{Estimate_Surv_Pall_Surv, abstract = {OBJECTIVE: To evaluate the relationship between the prognosis of the survival time of terminal cancer patients by doctors and nurses belonging to a Home Care Support Team (HCST) and the actual time of survival found. The first assessment and the last before death were examined. DESIGN: Prospective, descriptive study. SETTING: Area 7 of primary care, Madrid. PARTICIPANTS: Were terminal cancer patients attended by the HCST between February 2001 and August 2002. MAIN MEASUREMENTS: Age, sex, location of the tumour, presence of metastasis, number and location of metastases, real survival time and the time estimated by the doctor and nurse at the first assessment and at the last before death. The quotient of survival time found/survival time estimated was calculated. If it was between 0.67 and 1.33, the prediction was considered correct; < 0.67, optimistic, and >1.33, pessimistic. RESULTS: 121 patients were studied, 57\% men, with an average age of 72 +/- 12.8 years. At the first assessment, 30\% of doctors' predictions were correct, 40\% optimistic and 30\% pessimistic. Of nurses' predictions, 40\% were correct, 30\% optimistic and 30\% pessimistic. The intra-class correlation coefficients (ICC) between real and estimated survival times were 0.64 for doctors and 0.54 for nurses. At the final assessment, doctors had 38\% correct predictions, 44\% optimistic and 18\% pessimistic; and nurses had 44\% correct, 32\% optimistic and 24\% pessimistic. The ICCs were 0.83 and 0.84. CONCLUSIONS: The accuracy of professionals' clinical impression was only acceptable at the moment of quantifying the prognosis.}, address = {Especialista en Medicina Preventiva, Gerencia de Atenci\'{o}n Primaria, Area 7, Madrid, Spain.}, author = {Garrido Elustondo, S. and de Miguel S\'{a}nchez, C. and Vicente S\'{a}nchez, F. and Cabrera V\'{e}lez, R. and Mac\'{e} Guti\'{e}rrez, I. and Riestra Fern\'{a}ndez, A.}, citeulike-article-id = {361670}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/15225528}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=15225528}, day = {30}, issn = {0212-6567}, journal = {Aten Primaria}, keywords = {estimate, palliative, survival}, month = {June}, number = {2}, pages = {75--80}, posted-at = {2009-06-11 22:58:45}, priority = {2}, title = {[Clinical impressions of terminal cancer patients as an estimator of time of survival]}, url = {http://view.ncbi.nlm.nih.gov/pubmed/15225528}, volume = {34}, year = {2004} }

TY - JOUR ID - Estimate_Surv_Pall_Surv L3 - citeulike-article-id:361670 N2 - OBJECTIVE: To evaluate the relationship between the prognosis of the survival time of terminal cancer patients by doctors and nurses belonging to a Home Care Support Team (HCST) and the actual time of survival found. The first assessment and the last before death were examined. DESIGN: Prospective, descriptive study. SETTING: Area 7 of primary care, Madrid. PARTICIPANTS: Were terminal cancer patients attended by the HCST between February 2001 and August 2002. MAIN MEASUREMENTS: Age, sex, location of the tumour, presence of metastasis, number and location of metastases, real survival time and the time estimated by the doctor and nurse at the first assessment and at the last before death. The quotient of survival time found/survival time estimated was calculated. If it was between 0.67 and 1.33, the prediction was considered correct; < 0.67, optimistic, and >1.33, pessimistic. RESULTS: 121 patients were studied, 57% men, with an average age of 72 +/- 12.8 years. At the first assessment, 30% of doctors' predictions were correct, 40% optimistic and 30% pessimistic. Of nurses' predictions, 40% were correct, 30% optimistic and 30% pessimistic. The intra-class correlation coefficients (ICC) between real and estimated survival times were 0.64 for doctors and 0.54 for nurses. At the final assessment, doctors had 38% correct predictions, 44% optimistic and 18% pessimistic; and nurses had 44% correct, 32% optimistic and 24% pessimistic. The ICCs were 0.83 and 0.84. CONCLUSIONS: The accuracy of professionals' clinical impression was only acceptable at the moment of quantifying the prognosis. IS - 2 JF - Aten Primaria SN - 0212-6567 AD - Especialista en Medicina Preventiva, Gerencia de Atención Primaria, Area 7, Madrid, Spain. EP - 80 TI - [Clinical impressions of terminal cancer patients as an estimator of time of survival] VL - 34 SP - 75 KW - estimate KW - palliative KW - survival AU - Garrido Elustondo, S AU - de Miguel Sánchez, C AU - Vicente Sánchez, F AU - Cabrera Vélez, R AU - Macé Gutiérrez, I AU - Riestra Fernández, A PY - 2004/06/30/ UR - http://view.ncbi.nlm.nih.gov/pubmed/15225528 ER -