Predicting Survival With the Palliative Performance Scale: What Score is an Appropriate Eligibility Criterion for Research in Minority-Serving Hospice and Palliative Care Programs?

2.50
Hdl Handle:
http://hdl.handle.net/10755/158529
Type:
Presentation
Title:
Predicting Survival With the Palliative Performance Scale: What Score is an Appropriate Eligibility Criterion for Research in Minority-Serving Hospice and Palliative Care Programs?
Abstract:
Predicting Survival With the Palliative Performance Scale: What Score is an Appropriate Eligibility Criterion for Research in Minority-Serving Hospice and Palliative Care Programs?
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Hoenig, Noreen, RN, MS, CHPN, graduate student
P.I. Institution Name:University of Illinois
Contact Address:Medical Surgical Nursing, 845 South Damen, Chicago, IL, 60612-7350, USA
Co-Authors:L. Weng, H. Huang, M. Marschke, J. Duram, M. Suarez, and D.J. Wilkie, Medical Surgical Nursing, University of Illinois, Chicago, IL
Aim: A Palliative Performance Scale (PPS) score of 40 has been predictive of survival for two to three weeks, but it is unknown if this score is sufficiently predictive of this length of survival in ethnic and racial minority groups because they have been underrepresented in the research. The study purpose was to determine the PPS scores (<30, 40, >50) predictive of survival after admission to a minority-serving palliative care and hospice program. Method: We conducted a retrospective chart audit to obtain PPS scores, gender, age and ethnicity of all cancer patients (N=529) enrolled in a home-based palliative care/hospice program between January 2005 and August 2006. Survival and PPS scores were available for 486 patients (45% male; mean age 67 yr, SD=15.8; 47% African American, 31% Caucasian, 15% Hispanic, 7% other). Results: The patients survived an average of 35 days (median=17, SD=46.2) and their mean PPS score at admission was 40.9 (median 40, SD=14.3, ranging from 10 % to 100%, 62% had scores of 40% or 50%). Survival and PPS scores were weakly correlated (r=0.31, p <0.001). Difference in survival was observed by PPS groups (F=25.16, p<0.001); patients with PPS scores < 30% (mean=11.8) survived fewer days than those with high PPS scores. Survival was not statistically different for those with PPS scores of 40% (mean=;38.9) or >50% (mean=47.5). Female patients, older age, and higher PPS score predicted longer survival, but ethnicity-race was not predictive of survival. Conclusions: Findings support utility of the PPS score for identifying potential research subjects in this population regardless of minority status. A PPS score >40% is an eligibility criterion that affords sufficient survival for studies requiring data collection protocols that will be completed within 2 or 3 weeks.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredicting Survival With the Palliative Performance Scale: What Score is an Appropriate Eligibility Criterion for Research in Minority-Serving Hospice and Palliative Care Programs?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/158529-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predicting Survival With the Palliative Performance Scale: What Score is an Appropriate Eligibility Criterion for Research in Minority-Serving Hospice and Palliative Care Programs?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hoenig, Noreen, RN, MS, CHPN, graduate student</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Illinois</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">Medical Surgical Nursing, 845 South Damen, Chicago, IL, 60612-7350, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nhoeni2@uic.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L. Weng, H. Huang, M. Marschke, J. Duram, M. Suarez, and D.J. Wilkie, Medical Surgical Nursing, University of Illinois, Chicago, IL</td></tr><tr><td colspan="2" class="item-abstract">Aim: A Palliative Performance Scale (PPS) score of 40 has been predictive of survival for two to three weeks, but it is unknown if this score is sufficiently predictive of this length of survival in ethnic and racial minority groups because they have been underrepresented in the research. The study purpose was to determine the PPS scores (&lt;30, 40, &gt;50) predictive of survival after admission to a minority-serving palliative care and hospice program. Method: We conducted a retrospective chart audit to obtain PPS scores, gender, age and ethnicity of all cancer patients (N=529) enrolled in a home-based palliative care/hospice program between January 2005 and August 2006. Survival and PPS scores were available for 486 patients (45% male; mean age 67 yr, SD=15.8; 47% African American, 31% Caucasian, 15% Hispanic, 7% other). Results: The patients survived an average of 35 days (median=17, SD=46.2) and their mean PPS score at admission was 40.9 (median 40, SD=14.3, ranging from 10 % to 100%, 62% had scores of 40% or 50%). Survival and PPS scores were weakly correlated (r=0.31, p &lt;0.001). Difference in survival was observed by PPS groups (F=25.16, p&lt;0.001); patients with PPS scores &lt; 30% (mean=11.8) survived fewer days than those with high PPS scores. Survival was not statistically different for those with PPS scores of 40% (mean=;38.9) or &gt;50% (mean=47.5). Female patients, older age, and higher PPS score predicted longer survival, but ethnicity-race was not predictive of survival. Conclusions: Findings support utility of the PPS score for identifying potential research subjects in this population regardless of minority status. A PPS score &gt;40% is an eligibility criterion that affords sufficient survival for studies requiring data collection protocols that will be completed within 2 or 3 weeks.</td></tr></table>en_GB
dc.date.available2011-10-26T21:08:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:08:49Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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