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- W2275341429 abstract "Introduction and Background: Palliative care services aim to attain the best quality of life ofpatients. However, the lack of information on the survival of patients under palliative care hasresulted in the implementation and assessment of care models being focused on reach withoutmuch consideration of the quality of care and the quality of life of patients in the context ofsurvival. Amongst the few studies undertaken elsewhere, the target groups and settings to whichthe findings are inferable to are distinct to the Zimbabwean scenario. This study’s main aim was,therefore, to determine the survival of patients after enrolment into Island Hospice Service (IHS),a Zimbabwean palliative care programme established as the first hospice in Africa.Methodology: The study took the form of a Retrospective Cohort Design with data obtainedfrom a computerized database at IHS. A total of 597 patients enrolled in the programme between01/01/06 and 31/12/07 were included in the study and were retrospectively followed up withrespect to mortality from their respective dates of enrolment to the study end-date of 31/12/08.Observations were censored on the study end-date and date of transfer or relocation.Results: This study found that the overall median survival of patients referred to the IHSpalliative care programme is 419 days. This estimate is considerably higher than that found fromother previous studies which range from 11 to 54 days. Patients diagnosed with HIV only werenoted to have longer survival compared to those with Cancer only as well as those with both HIVand Cancer. The median survival estimates for patients with Cancer only and those with bothCancer and HIV were observed to be 84 days and 113 days respectively whilst that for thosewith HIV only was indeterminate. Some statistically significant differences in survival were alsoobserved for study factors such as gender, age, source of referral and functional status but withvariations under the specific disease groups.Conclusion: Patients enrolled in the IHS programme generally live longer relative to otherpalliative care programmes. The survival patterns of these patients are influenced by severalfactors, key among them being the disease status and functional status on enrolment. The studyidentified the need to incorporate survival data in care planning and modelling. Providing someawareness of the IHS Palliative Care programme to health professionals is also recommended asa possible strategy to improve the timing of referrals. This study also presents an opportunity forfurther epidemiological inquiry that may contribute to the organisation’s cancer preventionefforts." @default.
- W2275341429 created "2016-06-24" @default.
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- W2275341429 date "2014-05-21" @default.
- W2275341429 modified "2023-09-24" @default.
- W2275341429 title "Survival patterns of patients enrolled into Island Hospice Service palliative care programme" @default.
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