Is spiritual well-being related to survival time of inpatients with advanced cancer? An East Asian cohort study

被引：1

作者：

Hiratsuka, Yusuke ^{[1
,2
]}

Suh, Sang-Yeon ^{[3
,4
]}

Won, Seon Hye ^{[3
]}

Choi, Sung Eun ^{[5
]}

Kim, Sun-Hyun ^{[6
]}

Cheng, Shao-Yi ^{[7
]}

Chen, Ping-Jen ^{[8
,9
,10
]}

Yoon, Seok-Joon ^{[11
]}

Koh, Su-Jin ^{[12
]}

Park, Shin Ae ^{[13
]}

Seo, Ji-Yeon ^{[13
]}

Hui, David ^{[14
]}

Yamaguchi, Takashi ^{[15
]}

Morita, Tatsuya ^{[16
]}

Tsuneto, Satoru ^{[17
]}

Mori, Masanori ^{[16
]}

Inoue, Akira ^{[1
]}

机构：

[1] Tohoku Univ, Sch Med, Dept Palliat Med, Sendai, Miyagi, Japan

[2] Takeda Gen Hosp, Dept Palliat Med, Aizu Wakamatsu, Fukushima, Japan

[3] Dongguk Univ, Ilsan Hosp, Dept Family Med, Hosp & Palliat Care Ctr, Goyang Si, South Korea

[4] Dongguk Univ, Med Sch, Dept Med, Pildong 1-30, Seoul, South Korea

[5] Dongguk Univ, Dept Stat, Seoul, South Korea

[6] Catholic Kwandong Univ, Int St Marys Hosp, Sch Med, Dept Family Med, Incheon, South Korea

[7] Natl Taiwan Univ, Dept Family Med, Coll Med & Hosp, Taipei, Taiwan

[8] Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Family Med, Kaohsiung, Taiwan

[9] Kaohsiung Med Univ, Sch Med, Kaohsiung, Taiwan

[10] UCL, Div Psychiat, Marie Curie Palliat Care Res Dept, London, England

[11] Chungnam Natl Univ Hosp, Dept Family Med, Daejeon, South Korea

[12] Ulsan Univ, Ulsan Univ Hosp, Coll Med, Dept Hematol & Oncol, Ulsan, South Korea

[13] Seoul Metropolitan Govt, Seobuk Hosp, Dept Family Med, Hosp & Palliat Care Ctr, Seoul, South Korea

[14] Univ Texas MD Anderson Canc Ctr, Dept Palliat Care Rehabil & Integrat Med, Houston, TX 77030 USA

[15] Kobe Univ, Grad Sch Med, Dept Palliat Med, Kobe, Hyogo, Japan

[16] Seirei Mikatahara Gen Hosp, Div Palliat & Support Care, Hamamatsu, Shizuoka, Japan

[17] Kyoto Univ, Grad Sch Med, Dept Human Hlth Sci, Kyoto, Japan

来源：

PALLIATIVE & SUPPORTIVE CARE | 2023年 / 21卷 / 03期

关键词：

Advanced cancer; End of life; Palliative care; Spiritual well-being; Survival time; PALLIATIVE PROGNOSTIC SCORE; HOSPITALIZED-PATIENTS; RELIGIOSITY; SYMPTOMS; DYSPNEA; IMPACT; LIFE;

D O I：

10.1017/S1478951522000682

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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; p = 0.04), while it was insignificant in Japan (HR 1.10; 95% CI 1.00-1.22; p = 0.06), and Korea (HR 1.02; 95% CI 0.77-1.35; p = 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.

引用

页码：483 / 491

页数：9

共 31 条

[1] Spirituality and Quality of Life in Black Patients With Cancer Pain [J].