Palliative Care-Related Self-Report Problems among Cancer Patients in East Africa: A Two-Country Study

Simple item page
dc.contributor.authorHarding, Richard
dc.contributor.authorPowell, Richard A.
dc.contributor.authorNamisango, Eve
dc.contributor.authorMerriman, Anne
dc.contributor.authorGikaara, Nancy
dc.date.accessioned2022-07-01T07:45:36Z
dc.date.available2022-07-01T07:45:36Z
dc.date.issued2014
dc.description.abstractPalliative care-related problems have not been measured in Africa in line with the WHO definition. This study aimed to measure the three-day period intensity of multidimensional problems (physical, psychological, social, and spiritual) among advanced cancer patients in Kenya and Uganda.Adults with advanced malignant disease gave self-report data to the African Palliative Outcome Scale (POS).Among 210 respondents, more than half had an underlying HIV diagnosis (51.9 %). The worst ranked POS items were pain and information. In three multivariable ordinal logistic regression models with the 3 POS factors as dependent variables, for the first model (factor 1 physical and psychological well-being), as age increased, the well-being also improved (B = 0.022, p = 0.037), and as physical function score worsened, factor score also worsened (B = −0.685, p < 0.001). In the second model (factor 2 interpersonal well-being), a trend toward significance was found for gender, with being male predicting a higher (better) factor score (B = 0.502, p = 0.067). For the third model (factor 3 existential and spiritual), increasing age was predictive of higher (better) factor score (B = 0.023, p = 0.032), and worsening function was predictive of lower (worse) factor score (B = −0.543, p < 0.001). This novel data revealed pain and information to plan for the future to affect patients most severely, underlining the importance of analgesia and social support. HIV infection did not affect the level of need. Our data suggest increasing need as function declines; therefore, home-based models with adequate family support are essential.en_US
dc.identifier.citationHarding, R., Powell, R. A., Namisango, E., Merriman, A., Gikaara, N., Ali, Z., & Higginson, I. J. (2014). Palliative care-related self-report problems among cancer patients in East Africa: a two-country study. Supportive Care in Cancer, 22(12), 3185-3192.https://doi.org/10.1007/s00520-014-2301-5en_US
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/4135
dc.language.isoenen_US
dc.publisherSupportive Care in Canceren_US
dc.titlePalliative Care-Related Self-Report Problems among Cancer Patients in East Africa: A Two-Country Studyen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Palliative Care-Related Self-Report Problems among Cancer Patients in East Africa A Two-Country Study.pdf
Size:
168.44 KB
Format:
Adobe Portable Document Format
Description:
Palliative Care-Related Self-Report Problems among Cancer Patients in East Africa: A Two-Country Study
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences