作者
Ryan D Nipp, Areej El‐Jawahri, Samantha M Moran, Sara M D'Arpino, P Connor Johnson, Daniel E Lage, Risa L Wong, William F Pirl, Lara Traeger, Inga T Lennes, Barbara J Cashavelly, Vicki A Jackson, Joseph A Greer, David P Ryan, Ephraim P Hochberg, Jennifer S Temel
发表日期
2017/12/1
期刊
Cancer
卷号
123
期号
23
页码范围
4720-4727
简介
BACKGROUND
Patients with advanced cancer often experience frequent and prolonged hospitalizations; however, the factors associated with greater health care utilization have not been described. We sought to investigate the relation between patients' physical and psychological symptom burden and health care utilization.
METHODS
We enrolled patients with advanced cancer and unplanned hospitalizations from September 2014‐May 2016. Upon admission, we assessed physical (Edmonton Symptom Assessment System [ESAS]) and psychological symptoms (Patient Health Questionnaire 4 [PHQ‐4]). We examined the relationship between symptom burden and healthcare utilization using linear regression for hospital length of stay (LOS) and Cox regression for time to first unplanned readmission within 90 days. We adjusted all models for age, sex, marital status, comorbidity, education, time since advanced …
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RD Nipp, A El‐Jawahri, SM Moran, SM D'Arpino… - Cancer, 2017