The scientists have concluded that most hospitalized patients with advanced cancer have functional impairments. Specialists from the Center for Massive Oncological Diseases conducted an analysis of the examination of such patients. In their opinion, at the time of admission to the hospital, over 40% of patients had progressive oncological diseases. They were accompanied by complex functional disorders.
Such patients required widespread help in everyday affairs. Without any help, they could not walk, swim, dress and do normal activities. All of them had high rates of pain, depression, and anxiety, and were more prone to longer hospital stays and poorer survival rates.
To enhance the results of treatment of patients, doctors organize series of events to support such patients, providing them with support services at the beginning of their stay in the hospital. Observing the situation, experts concluded that the survival rate of patients with functional impairments is very low, and for such people, specially equipped hospices are required.
Daniel Lage, who is a leading researcher at the Center for Massive Oncological Diseases, believes that such sick people need an outpatient regimen rather than inpatient and individual care.
To that end, it is important to develop a new model of care in order to expand access to palliative care services and remove barriers that restrict proper access to palliative care among patients with advanced cancer.
Studies have shown that the percentage of patients with pronounced functional impairment is not large. 40.2% out of the 390 people had functional impairments, 25% had obvious impairments and people could not cope with daily tasks on their own.
The oncologists believe that functional status is a powerful indicator of the development of the disease, the effectiveness of treatment and the rate of progression. Assessment of symptoms and functional status on an outpatient basis improves survival and quality of living.