PROSPECTIVE EVALUATION OF PROGNOSTIC VARIABLES FROM PATIENT-COMPLETED QUESTIONNAIRES

被引:225
作者
LOPRINZI, CL
LAURIE, JA
WIEAND, HS
KROOK, JE
NOVOTNY, PJ
KUGLER, JW
BARTEL, J
LAW, M
BATEMAN, M
KLATT, NE
DOSE, AM
ETZELL, PS
NELIMARK, RA
MAILLIARD, JA
MOERTEL, CG
机构
[1] MAYO CLIN & MAYO FDN,ROCHESTER,MN
[2] DULUTH COMMUNITY CLIN ONCOL PROGRAM,DULUTH,MN
[3] GRAND FORKS CLIN LTD,GRAND FORKS,ND
[4] ST LUKES HOSP,COMMUNITY CLIN ONCOL PROGRAM,FARGO,ND
[5] ILLINOIS ONCOL RES ASSOC,COMMUNITY CLIN ONCOL PROGRAM,PEORIA,IL
[6] SASKATCHEWAN CANC FDN,ALLAN BLAIR MEM CLIN,REGINA,SK,CANADA
[7] CEDAR RAPIDS ONCOL PROJECT,CEDAR RAPIDS,IA
[8] OCHSNER COMMUNITY CLIN ONCOL PROGRAM,NEW ORLEANS,LA
[9] SIOUX COMMUNITY CANC CONSORTIUM,SIOUX FALLS,SD
[10] UNIV NEBRASKA,CREIGHTON UNIV,MED CTR,NEBRASKA ONCOL GRP,OMAHA,NE
关键词
D O I
10.1200/JCO.1994.12.3.601
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose: This study was developed to determine whether descriptive information from a patient-completed questionnaire could provide prognostic information that was independent from that already obtained by the patient's physician. Patients and Methods: An initial detailed questionnaire was administered to approximately 150 patients with advanced cancer. This questionnaire was subsequently revised and given to a total of 1,115 patients with advanced colorectal or lung cancer. Univariate and multivariate analyses were performed to evaluate the data from these questionnaires. Results: A total of 36 variables showed statistically significant prognostic information for survival in univariate analyses, even though many of these variables were associated with only a minimal increase in risk. A multivariate analysis demonstrated that there was a high correlation between many variables. Three major groups of variables became apparent as providing strong prognostic information. These included the following: (1) a physician's assessment of performance status (PS); (2) a patient's assessment of their own PS; and (3) a nutritional factor such as appetite, caloric intake, or overall food intake. Conclusion: Data generated by a patient-completed questionnaire can provide important prognostic information independent from that obtained by other physician-determined prognostic factors.
引用
收藏
页码:601 / 607
页数:7
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