- Daily News for Senior Citizens

  FRONT PAGE Aging • Health • Alzheimer's - Mental • Nutrition • Medicare & Medicaid Politics  • Fitness  • Social Security • Alerts • Sex Health • Features • Retirement  Elder Care  >Search  >Senior Links


Senior Journal: Today's News and Information for Senior Citizens & Baby Boomers

More Senior Citizen News and Information Than Any Other Source -

• Go to more on Health & Medicine or More Senior News from on the Front Page

Follow on  and 

E-mail this page to a friend!

Health & Medicine for Senior Citizens

Nine Factors Found to Play Key Role in Quality of Life for Dying Cancer Patients

When a cure for cancer is no longer an option, the focus of care often shifts from prolonging life to promoting the quality of life

July 9, 2012 - Better quality of life at the end of life for patients with advanced cancer was associated with avoiding hospitalizations and the intensive care unit, worrying less, praying or meditating, being visited by a pastor in a hospital or clinic, and having a trusting alliance with their physician, according to a report published Online First by Archives of Internal Medicine, a JAMA Network publication.

When treatments to cure a patient’s cancer are no longer an option, the focus of care often shifts from prolonging life to promoting the quality of life (QOL) at the end of life (EOL). But researchers note in their study background that there has been a gap in data on the strongest predictors of higher QOL at the EOL.

“The aim of this study was to identify the best set of predictors of QOL of patients in their final week of life. By doing so, we identify promising targets for health care interventions to improve QOL of dying patients,” the authors note.

The study by Baohui Zhang, M.S., formerly of the Dana-Farber Cancer Institute, Boston, and colleagues included 396 patients with advanced cancer and their caregivers as part of the Coping with Cancer study. The average age of patients was almost 59 years.

A set of nine factors explained the most variance in patients’ QOL at the EOL:
   1. intensive care stays in the final week,
   2. in hospital deaths,
   3. patient worry at baseline,
   4. religious prayer or meditation at baseline,
   5. site of cancer care,
   6. feeding tube use in the final week,
   7. pastoral care within the hospital or clinic,
   8. chemotherapy in the final week, and
   9. a patient-physician therapeutic alliance where the patient felt they were treated as a “whole person.”


Related Archive Stories


Living Alone Increases Risk of Mortality, Cardiovascular Death for Older Adults

Among patients older than 80 years, living alone was not associated with an increased risk of mortality - June 18, 2012

New Report Shows Cancer Death Rates Continue Decline from 1990s

Special feature highlights cancers associated with excess weight and lack of sufficient physical activity - March 28, 2012

Study Shows Family Hospice Caregivers Also Need Routine Care Interventions

Hospice patients have an estimated life expectancy of 6 months or less; about 69% receive care at home from a family caregiver

Nov. 30, 2011

Physicians Push For More Palliative Care Despite Barriers; 91% Say Patients Not Informed

‘..greatest challenge may be simply preparing physicians to talk about end-of-life care with their patients, … it can be an intensely emotional and difficult’

By Jessica Marcy

Nov. 16, 2011


Read the latest news
> Health & Medicine
Today's Headlines


“Two of the most important determinants of poor patient quality QOL at the EOL were dying in a hospital and ICU stays in the last week of life. Therefore, attempts to avoid costly hospitalizations and to encourage transfer of hospitalized patients to home or hospice might improve patient QOL at the EOL,” the authors comment.

Patient worry at baseline also was “one of the most influential predictors of worse QOL at the EOL,” the authors note.

“These results suggest that physicians who are able to remain engaged and ‘present’ for their dying patients - by inviting and answering questions, and by treating patients in a way that makes them feel that they matter as fellow human beings - have the capacity to improve a dying patient's QOL,” the researchers write.

 “By reducing patient worry, encouraging contemplation, integrating pastoral care within medical care, fostering a therapeutic alliance between patient and physician that enables patients to feel dignified, and preventing unnecessary hospitalizations and receipt of life-prolonging care, physicians can enable their patients to live their last days with the highest possible level of comfort and care,” the authors conclude.

This research was supported in part by grants from the National Institute of Mental Health, the National Cancer Institute, and the Center for Psychosocial Epidemiology and Outcomes Research, Dana-Farber Cancer Institute.

Invited Commentary: Improving Patients’ Quality of Life at End of Life

“This study highlights the scarcity of research in an area that can give us important tools in further refining coherent treatment strategies for patients throughout the timeline of cancer treatment and disease trajectory,” says an “invited commentary” in the journal.

“It is surprising at this stage in the development and implementation of complex multimodal cancer treatment strategies that the factors most critical in influencing the quality of the EOL are not clearly defined and considered along the entire timeline beginning with cancer diagnosis,” write Alan B. Zonderman, Ph.D., and Michele K. Evans, M.D., of the Intramural Research Program, National Institute on Aging, National Institutes of Health, Baltimore.

“This work as well as the American Society of Clinical Oncology statement support early introduction of palliative care for advanced cancer patients,” the authors conclude.

>> Special Section at American Cancer Society - Nearing the End of Life

>> Coping with Cancer - National Cancer Institute

>> End of Life Care for People Who Have Cancer - National Cancer Institute

> Medical Malpractice,

> Nursing Home Abuse,

> Personal Injury

Our Experienced Lawyers Can Help

Beth Janicek, Board Certified Personal Injury Attorney"We win because we care, we prepare and we have no fear," Beth Janicek, board certified personal injury attorney


Free Consultation on your case.

Call Now Toll Free


or Send Email

More at our Website



Search for more about this topic on

Google Web

Keep up with the latest news for senior citizens, baby boomers


Click to More Senior News on the Front Page




Published by New Tech Media -

Other New Tech Media sites include,,,, etc.