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Comparative Study
Is performance status associated with symptom scores? A population-based longitudinal study among cancer outpatients.
- Rinku Sutradhar, Clare Atzema, Hsien Seow, Craig Earle, Joan Porter, Doris Howell, Deborah Dudgeon, and Lisa Barbera.
- J Palliat Care. 2014 Jan 1;30(2):99-107.
BackgroundSymptom scores and performance status are both important measures for patients with cancer. However, since performance status is not often part of routinely collected data, there is interest in exploring whether it can be calculated from symptom scores.MethodsThis was a population-based longitudinal study of cancer outpatients in Ontario, Canada in the year following their cancer diagnosis and among the subset of patients during the last year of their lives.ResultsIn the first year after diagnosis, there was a significant relationship between performance status and fatigue and appetite; fatigue and well-being had a significant association with performance status in the last year of life. In both periods, the associations, although statistically significant, were not large enough to be clinically meaningful.ConclusionPerformance status is an important measurement that cannot be substituted or captured with symptom scores; it is important for healthcare providers to record performance scores on a regular basis.
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