ABSTRACT: Self-Rated Health as a Predictor of Survival Among Patients
With Advanced Cancer
PURPOSE: Evidence is emerging about the strong predictive relationship
between self-rated health (SRH) and survival, although there
is little evidence on palliative populations where an accurate
prediction of survival is valuable.
Thus, the relative importance
of SRH in predicting the survival of ambulatory patients with
advanced cancer was examined. SRH was compared to clinical assessments
of performance status, as well as to quality-of-life measures.
CONCLUSION: SRH is valid, reliable, and responsive to change as
a predictor of survival of advanced cancer.
These qualities suggest
that SRH should be considered as an additional tool by oncologists
to assess patients. Similarly, health managers could use SRH
as an indicator of disease severity in palliative care case mix.
Finally, SRH could provide a key to help us understand the human
side of disease and its relationship with medicine.
[05/20/2002; Journal of Clinical Oncology]
Institute of Medicine, October 2007
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