Quality of life in patients with advanced cancer according to place of care in a referral hospital.

Calidad de vida en pacientes con cáncer avanzado según lugar de atención en un hospital de referencia.

Keywords: Quality of life, Palliative care, Advanced cancer

Abstract

Introduction: In Peru more than 50% of cancer cases are diagnosed late and their quality of life is poorly studied.

Objectives: To compare the quality of life perceived by patients with advanced cancer in a referral hospital according to home care versus hospital care.

Material and methods: Observational study carried out in a tertiary social security hospital. Patients older than 18 years with cancer with multiple metastases were included. EORTC QLQ-C15-PAL quality of life survey was applied to patients with adequate cognitive level (according to the Pfeiffer questionnaire). Using Chi square and Mann-Whitney tests, considering p <0.05 and using SPSS 24.0. Previous approval of the institutional ethics committee.

Results: 83 patients were included in the hospital group (GH) and 69 in the home group (GD). Age ranged from 30 to 94 years, with a median of 66 years in the GH and 76 in the GD (p <0.01); female sex 56.6 and 60.9% respectively (p = 0.60). The most frequent locations of cancer were digestive, genitourinary, and respiratory in both groups (p = 0.68). 25% of GH and 58% of GD had moderate or severe cognitive impairment (p <0.01). The median quality of life score was 49.5 in the GH and 48 in the GD (p = 0.60), the physical functional aspect had a lower score in GH (p <0.01).

Conclusion: The perceived quality of life is acceptable, with intermediate control of symptoms in both groups and better physical functionality in the hospital group; however, the home group are older and have cognitive impairment.

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Author Biographies

Jose Amado Tineo, Autor
José Amado-Tineo, Internist, Doctor of Medicine, Faculty of Medicine, Universidad Nacional Mayor de San Marcos, Lima, Peru. ORCID: 0000-0002-3286-4650
Moises Apolaya Segura, Autor
Moises Apolaya-Segura, Epidemiologist, Magister in Public Health, Center for Research in Clinical Epidemiology and Evidence-Based Medicine, San Martin de Porres University, Jesús del Norte Clinic, San Pablo Hospital Complex, Lima, Peru. ORCID: 0000-0001-5650-9998
Elizabeth Che Hidalgo, Autor
Elizabeth Che-H, Specialist in Family and Community Medicine, Palliative Care Program (COPHOES) Edgardo Rebagliati Martins Hospital, Lima, Peru. ORCID: 0000-0003-1518-0887
Otto Vargas-Tineo, Autor
Otto Vargas-Tineo, Surgeon, University of San Martin de Porres, Lima, Peru. ORCID: 0000-0001-6242-7294
Teodoro Oscanoa Espinoza, Autor
Teodoro Oscanoa-Espinoza, Internist, Doctor of Medicine, Universidad Nacional Mayor de San Marcos, Faculty of Medicine; University of San Martín de Porres, Faculty of Human Medicine, Drug Safety Research Center, Lima, Peru. ORCID: 0000-0001-9379-4767
Published
2021-01-11