{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T16:08:48Z","timestamp":1777910928921,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2014,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To prospectively evaluate outcome measures of patients undergoing palliative surgical evaluation for gastrointestinal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients with an incurable malignancy undergoing consultation for gastrointestinal obstruction were prospectively enrolled from November 2009 to July 2012. We evaluated two patient-reported outcome measures of quality of life (Functional Assessment of Cancer Therapy-General [FACT-G]) and treatment satisfaction (Functional Assessment of Chronic Illness Therapy-Treatment Satisfaction-General Version 1 [FACIT-TS-G]) and five observational outcome measures (symptom improvement, 30 \u201cgood days,\u201d ability to tolerate diet at discharge, discharge home, and death within 90 days).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of 53 patients enrolled, 13 had gastric outlet obstruction, 22 had small bowel obstruction, and 18 had large bowel obstruction. Patient-reported measures could not be analyzed because only 19 patients (36%) completed the FACT-G and FACIT-TS-G survey at 1-month follow-up. However, we were able to obtain results for the 5 clinical observational outcomes in all patients. Symptom improvement was obtained in 41 (77%) patients, 30 \u201cgood days\u201d in 40 (75%), ability to tolerate diet at discharge in 45 (85%), discharge to home in 46 (87%), and 18 (34%) of patients died within 90 days of evaluation. Large bowel obstruction was associated with symptom improvement, and noncolorectal cancer histology and carcinomatosis were negatively associated with having 30 \u201cgood days.\u201d The ability to tolerate oral intake at discharge was associated with Eastern Cooperative Oncology Group performance status and no recent chemotherapy administration. Death within 90 days was independently associated with noncolorectal cancer histology, ascites, and nonsurgical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Observational outcome measures can provide follow-up data and the identification of variables associated with outcome for patients who are unable to respond to outpatient surveys.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jpm.2013.0240","type":"journal-article","created":{"date-parts":[[2013,12,17]],"date-time":"2013-12-17T07:10:17Z","timestamp":1387264217000},"page":"18-26","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Outcome Measures Other than Morbidity and Mortality for Patients with Incurable Cancer and Gastrointestinal Obstruction"],"prefix":"10.1177","volume":"17","author":[{"given":"Brian","family":"Badgwell","sequence":"first","affiliation":[{"name":"The University of Arkansas for Medical Sciences"},{"name":"The University of Texas M. D. Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Krouse","sequence":"additional","affiliation":[{"name":"The University of Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne V.","family":"Klimberg","sequence":"additional","affiliation":[{"name":"The University of Arkansas for Medical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Bruera","sequence":"additional","affiliation":[{"name":"The University of Texas M. D. Anderson Cancer Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,1,1]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"The American Board of Surgery website: MOC Part 4\u2014Practice Assessment Resources. www.absurgery.org\/default.jsp?exam-mocpa (Last accessed February 13 2013)."},{"key":"e_1_3_2_3_2","unstructured":"American College of Surgeons National Surgical Quality Improvement Program website: Data collection analysis and reporting. http:\/\/site.acsnsqip.org\/program-specifics\/data-collection-analysis-and-reporting\/ (Last accessed February 13 2013)."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31822513ed"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.7.773"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000141707.09312.dd"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-008-0554-6"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23236"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0083"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(98)00323-7"},{"key":"e_1_3_2_11_2","unstructured":"Patient-Centered Outcomes Research Institute Mission and Vision: www.pcori.org\/about\/mission-and-vision\/ (Last accessed February 13 2013)."},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000421-198212000-00014"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1993.11.3.570"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2007.04.010"},{"key":"e_1_3_2_15_2","volume-title":"Statistical Methods for the Analysis of Biomedical Data","author":"Woolson RF","year":"2000","unstructured":"Woolson RF, , Clarke WR: Statistical Methods for the Analysis of Biomedical Data, 2nd ed. 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