The Palliative Prognostic Index for the Prediction of Survival and In-Hospital Mortality of Patients with Advanced Cancer in Kuwait

2012 ◽  
Vol 15 (2) ◽  
pp. 200-204 ◽  
Author(s):  
Salem Alshemmari ◽  
Hanan Ezzat ◽  
Zainab Samir ◽  
Samar Refaat ◽  
Samy A. Alsirafy
Keyword(s):  
Hospital Mortality ◽  
Advanced Cancer ◽  
Prognostic Index ◽  
Prediction Of Survival ◽  
Palliative Prognostic Index

scholarly journals Predicting survival in patients with advanced cancer in the last weeks of life: How accurate are prognostic models compared to clinicians’ estimates?

2019 ◽  
Vol 34 (1) ◽  
pp. 126-133 ◽  
Author(s):  
David Hui ◽  
Jeremy Ross ◽  
Minjeong Park ◽  
Rony Dev ◽  
Marieberta Vidal ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Prognostic Score ◽  
Prognostic Index ◽  
Prognostic Scores ◽  
Concordance Index ◽  
Prognostic Accuracy ◽  
Prediction Of Survival ◽  
Palliative Prognostic Index ◽  
Performance Scale

Background: It is unclear if validated prognostic scores such as the Palliative Performance Scale, Palliative Prognostic Index, and Palliative Prognostic Score are more accurate than clinician prediction of survival in patients admitted to an acute palliative care unit with only days of survival. Aim: We compared the prognostic accuracy of Palliative Performance Scale, Palliative Prognostic Index, Palliative Prognostic Score, and clinician prediction of survival in this setting. Design: This is a pre-planned secondary analysis of a prospective study. Setting/participants: We assessed Palliative Performance Scale, Palliative Prognostic Index, Palliative Prognostic Score, and clinician prediction of survival at baseline. We computed their prognostic accuracy using the Concordance index and area under the receiver operating characteristics curve for 7-, 14-, and 30-day survival. Results: A total of 204 patients were included with a median overall survival of 10 days (95% confidence interval: 8–11 days). The Concordance index for Palliative Performance Scale, Palliative Prognostic Index, Palliative Prognostic Score, and clinician prediction of survival were 0.74, 0.71, 0.70, and 0.75, respectively. The areas under the curve for these approaches were 0.82–0.87 for 30-day survival, 0.75–0.80 for 14-day survival, and 0.74–0.81 for 7-day survival. The four prognostic approaches had similar accuracies, with the exception of 7-day survival in which clinician prediction of survival was significantly more accurate than Palliative Prognostic Score (difference: 7%) and Palliative Prognostic Index (difference: 8%). Conclusion: In patients with advanced cancer with days of survival, clinician prediction of survival and Palliative Performance Scale alone were as accurate as Palliative Prognostic Score and Palliative Prognostic Index. These four approaches may be useful for prognostication in acute palliative care units. Our findings highlight how patient population may impact the accuracy of prognostic scores.

scholarly journals Usefulness of Palliative Prognostic Index for Patient With Advanced Cancer in Home Care Setting

2012 ◽  
Vol 30 (3) ◽  
pp. 264-267 ◽  
Author(s):  
Jun Hamano ◽  
Takami Maeno ◽  
Yoshiyuki Kizawa ◽  
Yasuo Shima ◽  
Tetsuhiro Maeno
Keyword(s):  
Home Care ◽  
Advanced Cancer ◽  
Care Setting ◽  
Prognostic Index ◽  
Palliative Prognostic Index

scholarly journals Validation of the Palliative Prognostic Index, Performance Status–Based Palliative Prognostic Index and Chinese Prognostic Scale in a home palliative care setting for patients with advanced cancer in China

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Jun Zhou ◽  
Sitao Xu ◽  
Ziye Cao ◽  
Jing Tang ◽  
Xiang Fang ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Predictive Value ◽  
Characteristic Curve ◽  
Performance Status ◽  
Mainland China ◽  
Prognostic Index ◽  
Risk Groups ◽  
Palliative Care Setting ◽  
Palliative Prognostic Index

Abstract Background The predictive value of the prognostic tool for patients with advanced cancer is uncertain in mainland China, especially in the home-based palliative care (HPC) setting. This study aimed to compare the accuracy of the Palliative Prognostic Index (PPI), the Performance Status–Based Palliative Prognostic Index (PS-PPI), and the Chinese Prognosis Scale (ChPS) for patients with advanced cancer in the HPC setting in mainland China. Methods Patients with advanced cancer admitted to the hospice center of Yuebei People’s Hospital between January 2014 and December 2018 were retrospectively calculated the scores according to the three prognostic tools. The Kaplan-Meier method was used to compare survival times among different risk groups. Receiver operating characteristic curve analysis was used to assess the predictive value. The accuracy of 21-, 42- and 90-day survival was compared among the three prognostic tools. Results A total of 1863 patients were included. Survival time among the risk groups of all prognostic tools was significantly different from each other except for the PPI. The AUROC of the ChPS was significantly higher than that of the PPI and PS-PPI for 7-, 14, 21-, 42-, 90-, 120-, 150- and 180-day survival (P < 0.05). The AUROC of the PPI and PS-PPI were not significantly different from each other (P > 0.05). Conclusions The ChPS is more suitable than the PPI and PS-PPI for advanced cancer patients in the HPC setting. More researches are needed to verify the predictive value of the ChPS, PPI, and PS-PPI in the HPC setting in the future.

scholarly journals Validation of the Palliative Prognostic Index, Performance Status–Based Palliative Prognostic Index and Chinese Prognostic Scale in a home palliative care setting for patients with advanced cancer in China

2020 ◽  
Author(s):  
Jun Zhou ◽  
Sitao Xu ◽  
Ziye Cao ◽  
Jing Tang ◽  
Xiang Fang ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Predictive Value ◽  
Characteristic Curve ◽  
Performance Status ◽  
Mainland China ◽  
Prognostic Index ◽  
Risk Groups ◽  
Palliative Care Setting ◽  
Palliative Prognostic Index

Abstract Background: The predictive value of the prognostic tool for patients with advanced cancer is uncertain in mainland China, especially in the home-based palliative care (HPC) setting. This study aimed to compare the accuracy of the Palliative Prognostic Index (PPI), the Performance Status–Based Palliative Prognostic Index (PS-PPI), and the Chinese Prognosis Scale (ChPS) for patients with advanced cancer in the HPC setting in mainland China.Methods: Patients with advanced cancer admitted to the hospice center of Yuebei People’s Hospital between January 2014 and December 2018 were retrospectively calculated the scores according to the three prognostic tools. The Kaplan-Meier method was used to compare survival times among different risk groups. Receiver operating characteristic curve analysis was used to assess the predictive value. The accuracy of 21-, 42- and 90-day survival was compared among the three prognostic tools. Results: A total of 1863 patients were included. Survival time among the risk groups of all prognostic tools was significantly different from each other except for the PPI. The AUROC of the ChPS was significantly higher than that of the PPI and PS-PPI for 7-, 14, 21-, 42-, 90-, 120-, 150- and 180-day survival (P <0.05). The AUROC of the PPI and PS-PPI were not significantly different from each other (P >0.05).Conclusions: The ChPS is more suitable than the PPI and PS-PPI for advanced cancer patients in the HPC setting. More researches are needed to verify the predictive value of the ChPS, PPI, and PS-PPI in the HPC setting in the future.

The Functional Palliative Prognostic Index: a scoring system for functional prognostication of patients with advanced cancer

2020 ◽  
Vol 28 (12) ◽  
pp. 6067-6074
Author(s):  
Yusuke Hiratsuka ◽  
Takuhiro Yamaguchi ◽  
Isseki Maeda ◽  
Tatsuya Morita ◽  
Masanori Mori ◽  
...  
Keyword(s):  
Advanced Cancer ◽  
Scoring System ◽  
Prognostic Index ◽  
Palliative Prognostic Index

scholarly journals Validation of the Palliative Prognostic Index, Performance Status–based Palliative Prognostic Index and Chinese Prognostic Scale in a Home Palliative Care Setting for Patients With Advanced Cancer in China

2020 ◽  
Author(s):  
Jun Zhou ◽  
Sitao Xu ◽  
Ziye Cao ◽  
Jing Tang ◽  
Ling Qin ◽  
...  
Keyword(s):  
Palliative Care ◽  
Advanced Cancer ◽  
Predictive Value ◽  
Characteristic Curve ◽  
Performance Status ◽  
Mainland China ◽  
Prognostic Index ◽  
Risk Groups ◽  
Palliative Care Setting ◽  
Palliative Prognostic Index

Abstract Background:Thepredictive value of theprognostic tool for patients with advanced cancer isuncertainin mainland China, especially in the home-based palliative care (HPC) setting. This study aimed to compare the accuracy of the Palliative Prognostic Index (PPI), the Performance Status–Based Palliative Prognostic Index (PS-PPI), and the Chinese Prognosis Scale (ChPS) for patients with advanced cancer in the HPC setting in mainland China.Methods:Patients with advanced cancer admitted to the hospice center of Yuebei People’s Hospital between January 2014 and December 2018 were retrospectively calculated the scores according to the three prognostic tools. The Kaplan-Meier method was used to compare survival times among different risk groups. Receiver operating characteristic curve analysis was used to assess the predictive value. The accuracy of 21-, 42- and 90-day survival was compared among the three prognostic tools.Results: A total of 1863 patients were included. Survival time among the risk groups of all prognostic tools was significantly different from each other except for the PPI. The AUROC of the ChPS was significantly higher than that of the PPI and PS-PPI for 7-, 14, 21-, 42-, 90-, 120-, 150- and 180-day survival (P <0.05). The AUROC of the PPI and PS-PPI were not significantly different from each other (P >0.05).Conclusions: The ChPS is more suitable than the PPI and PS-PPI for advanced cancer patients in the HPC setting. More researches are needed to verify the predictive value of the ChPS, PPI, and PS-PPI in the HPC setting in the future.

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