ObjectiveTo explore the survival rate and its influencing factors in the gastrointestinal cancer patients from hospice care by analyzing the clinical data, thereby to provide reference for clinical prevention and treatment of cancer. MethodsData of 190 patients with gastrointestinal cancer were collected and retrospectively analyzed. The patients were hospitalized in the hospice care of the First Affiliated Hospital of Guangxi Medical University. The cut-off date for the follow-up was June 30th, 2013 (or the date of death). The Kaplan-Meier method was used to calculate the median survival time and survival rate, and the log-rank test was used to assess the the difference in survival rate.Multivariate analysis was performed using the Cox proportional hazard regression model. ResultsIn the gastrointestinal cancer patients from hospice care, the median survival time, average survival time, 1-year cumulative survival rate and 3-year cumulative survival rate were 14.2 months, 22.7 months, (59.5±3.6)% and (19.8±2.9)%, respectively. The results of univariate analysis revealed that the factors related to survival and prognosis included surgical therapy, chemotherapy, the onset time of cancerous pain and the therapy history for pain. Cox regression analysis found that operative therapy, the onset time of cancerous pain and the therapy history for pain were the independent risk factors influencing the prognosis in the patients with gastrointestinal cancer from hospice care. ConclusionRelated surgical therapy in the past, the onset time of cancerous pain and the therapy history for pain are the independent risk factors influencing the prognosis in the patients with gastrointestinal cancer from hospice care. Early diagnosis, effective operation, proper adjuvant chemotherapy and effective early anti-pain treatment are significant for prolonging the survival time and improving the quality in the gastrointestinal cancer patients from hospice care.

无