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Text
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<a href="http://doi.org/10.1002/pbc.22644" target="_blank" rel="noreferrer">http://doi.org/10.1002/pbc.22644</a>
<a href="http://dx.doi.org/10.1002/pbc.22644" target="_blank" rel="noreferrer">http://dx.doi.org/10.1002/pbc.22644</a>
Dublin Core
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Title
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A palliative prognostic score for terminally ill children and adolescents with cancer
Publisher
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Pediatric Blood & Cancer
Date
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2010
Subject
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Validation Studies as Topic; Validation Studies
Creator
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Kurashima AY; de Oliveira Latorre Maria do Rosario Dias; Camargo Beatriz de
Description
An account of the resource
The loss of a child is considered the hardest moment in a parent's life. Studies addressing length of survival under pediatric palliative care are rare. The aim of this study was to improve a survival prediction model for children in palliative care, as accurate information positively impacts parent and child preparation for palliative care.Sixty-five children referred to a pediatric palliative care team were followed from August 2003 until December 2006. Variables investigated (also included in previous studies) were: diagnosis, home care provider, presence of anemia, and performance status score given by the home care provider. Clinical variables such as symptom number were also used to test the score's ability to predict survival.The length of survival prognostic score was validated using the above variables. The number of symptoms at transition to palliative care does not improve the score's predictive ability. The sum of the single scores gives an overall score for each patient, dividing the population into three groups by probability of 60-day survival: Group A 80.0%, Group B 38.0%, and Group C 28.5% (P < 0.001).A pediatric palliative care score based on easily accessible variables is statistically significant in multivariate analysis. Factors that increase accuracy of life expectancy prediction enable adequate information to be given to patients and families, contributing to therapeutic decision-making issues. Pediatr Blood Cancer © 2010 Wiley-Liss, Inc.
2010
Identifier
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<a href="http://doi.org/10.1002/pbc.22644" target="_blank" rel="noreferrer">10.1002/pbc.22644</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2010
Backlog
Camargo Beatriz de
de Oliveira Latorre Maria do Rosario Dias
Journal Article
Kurashima AY
Pediatric Blood & Cancer
Validation Studies
Validation Studies as Topic
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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URL Address
<a href="http://doi.org/10.1017/s1478951505050194" target="_blank" rel="noreferrer">http://doi.org/10.1017/s1478951505050194</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Factors associated with location of death of children with cancer in palliative care
Publisher
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Palliative & Supportive Care
Date
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2005
Subject
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Child; Female; Hospitalization; Humans; Male; Palliative Care; Terminal Care; Home Nursing; Adult; Logistic Models; Prospective Studies; Multivariate Analysis; Brazil; adolescent; Preschool; decision making; infant; Neoplasms; location of death
Creator
An entity primarily responsible for making the resource
Kurashima AY; Latorre MR; Teixeira SA; De Camargo B
Description
An account of the resource
OBJECTIVE: The aim of this study was to identify factors associated with location of death of patients receiving palliative care in a pediatric oncology unit. METHODS: A palliative care program was developed in the pediatric department in order to provide specialized attention to the patient and family in end-of-life. The program is coordinated by a nurse, delivering a simultaneous interdisciplinary team approach with focus on identification and training of a family care provider as well as local resources supplemented by support of a social worker and the community. All 87 patients in palliative care were followed by the team. The factors associated with the location of death (home or hospital) were evaluated for the 71 patients who died prior to analysis. RESULTS: Forty-two (59%) patients died at home. Factors significantly associated with dying at home were: male with an Odds Ratio (OR) = 3.80, 95% Confidence Interval (CI) = 1.26-11.76; public health insurance (OR) = 4.95, 95%[CI] = 1.03-26.75, low educational level of the caregiver (OR) = 11.11 95%[CI] = 1.65-94.66 and low educational level of the mother (OR) = 7.07 95%[CI] = 1.37-40.14. Gender was the only independent factor associated with location of death: a boy had a higher risk of dying at home, (OR) = 4.25, 95%[CI] = 1.37-13.21 when compared to a girl. SIGNIFICANCE OF RESULTS: In our society we are still not able to provide hospice care or home care for all children, although increasing emphasis has been placed on utilizing local resources. Even though we had increased the number of desired home deaths, it is still a challenge to meet patients and families' requests. A team approach, the recognition of the factors involved, and adequate health and community support have helped us to meet the child and family's needs.
2005
Identifier
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<a href="http://doi.org/10.1017/s1478951505050194" target="_blank" rel="noreferrer">10.1017/s1478951505050194</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Adolescent
Adult
Backlog
Brazil
Child
De Camargo B
Decision Making
Female
Home Nursing
Hospitalization
Humans
Infant
Journal Article
Kurashima AY
Latorre MR
Location Of Death
Logistic Models
Male
Multivariate Analysis
Neoplasms
Palliative & Supportive Care
Palliative Care
Preschool
Prospective Studies
Teixeira SA
Terminal Care