Symptom Burden and Quality of Life in Inpatient Palliative Care
Bibliographic record
Abstract
Effective palliative care requires a comprehensive assessment of symptoms to improve quality of life. This study evaluated the clinical utility of the Polish version of the Integrated Palliative Care Outcome Scale (IPOS-POL) in an inpatient setting. One hundred patients (68 oncological, 32 non-oncological) completed IPOS-POL at admission (T1) and after seven days (T2) between July 2022 and February 2023. While total IPOS scores remained stable (p = 0.3603), psychosocial distress increased significantly (p = 0.0217). Staff tended to underestimate drowsiness and psychosocial distress compared with patient self-reports. Female patients reported higher distress (p = 0.0374), and bedridden patients experienced more pain (p = 0.0146). Oncological patients reported greater pain (p = 0.0189), whereas non-oncological patients more frequently experienced breathlessness (p = 0.0297). These findings emphasize discrepancies in symptom perception between patients and staff and underline the importance of tailored interventions based on gender and functional status. Enhanced psychosocial support should be a priority in inpatient palliative care.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.009 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".