A New Approach for Determining Short-Term, Objective Prognostic Predictive Methods for Terminal Cancer Patients Based on the Change Point of Laboratory Test Values

For the estimation of short-term prognosis in terminal cancer patients, it is important to establish a prognostic index that does not involve blood tests. We compared the prognostic ability of the Barthel Index (BI) with the Glasgow Prognostic Score (GPS). Ninety-seven inpatients with terminal cancer at Onomichi Municipal Hospital who died between 2018 and 2019 were retrospectively analyzed. The sensitivity, specificity, accuracy, and area under the receiver operating characteristic curve (AUROC) were compared between the BI and GPS. For predicting the 15 day prognosis, the BI showed higher specificity, accuracy, and AUROC than the GPS. For predicting the 30 day prognosis, the BI showed higher sensitivity, accuracy, and AUROC than the GPS. The BI can predict the 15 or 30 day prognosis in terminal cancer patients. As the BI does not require blood tests, it may be an option for prognostic prediction in terminal cancer patients.

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Support of an Interdisciplinary Team

Illness Crisis & Loss ◽

10.2190/il.17.4.e ◽

2009 ◽

Vol 17 (4) ◽

pp. 317-318

Author(s):

Patrice O'Connor

Keyword(s):

United States ◽

Pain Management ◽

Cancer Patients ◽

Interdisciplinary Team ◽

The United States ◽

Terminal Cancer ◽

New Approach ◽

Terminal Cancer Patients

In development of a new approach, there is almost always a group of like-minded people. Such was the case in the 1970s when Dame Cicely Saunders came to the United States. She shared her concept of pain management, and care of terminal cancer patients and their families with interested American colleagues.

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Transmural care of terminal cancer patients: effects on the quality of life of direct caregivers

Journal of Pain and Symptom Management ◽

10.1016/s0885-3924(98)80020-1 ◽

1998 ◽

Vol 15 (4) ◽

pp. S8 ◽

Cited By ~ 1

Author(s):

F Smeenk

Keyword(s):

Quality Of Life ◽

Cancer Patients ◽

Terminal Cancer ◽

Terminal Cancer Patients

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Optimal timing for hospice-shared care initiation in terminal cancer patients

Supportive Care in Cancer ◽

10.1007/s00520-021-06284-9 ◽

2021 ◽

Author(s):

Yan-Mei Dai ◽

Ya-Ting Huang ◽

Min-Yu Lai ◽

Hsueh-Erh Liu ◽

Chih-Chung Shiao

Keyword(s):

Cancer Patients ◽

Shared Care ◽

Optimal Timing ◽

Terminal Cancer ◽

Terminal Cancer Patients

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Changes in the palliative performance scale may be as important as the initial palliative performance scale for predicting survival in terminal cancer patients

Palliative & Supportive Care ◽

10.1017/s1478951520001248 ◽

2021 ◽

pp. 1-5

Author(s):

Guk Jin Lee ◽

Ji Hyun Gwak ◽

Myoung Sim Kim ◽

Mi Yeong Lee ◽

Seo Ree Kim ◽

...

Keyword(s):

Cancer Patients ◽

Gastrointestinal Cancer ◽

Poor Prognosis ◽

Accurate Estimation ◽

Terminal Cancer ◽

Hospice Patients ◽

Terminal Cancer Patients ◽

Group A ◽

Group B ◽

Performance Scale

Abstract Objective The accurate estimation of expected survival in terminal cancer patients is important. The palliative performance scale (PPS) is an important factor in predicting survival of hospice patients. The purpose of this study was to examine how initial status of PPS and changes in PPS affect the survival of hospice patients in Korea. Method We retrospectively examined 315 patients who were admitted to our hospice unit between January 2017 and December 2018. The patients were divided based on the PPS of ≥50% (group A) and ≤40% (group B). We performed survival analysis for factors associated with the length of survival (LOS) in group A. Based on the hospice team's weekly evaluation of PPS, we examined the effect of initial levels and changes in group A on the prognosis of patients who survived for 2 weeks or more. Results At the time of admission to hospice, 265 (84.1%) patients were PPS ≥50%, and 50 (15.9%) were PPS ≤40%. The median LOS of PPS ≥50% and PPS ≤40% were 15 (2–158 days) and 9 (2–43 days), respectively. Male, gastrointestinal cancer, and lower initial PPS all predicted poor prognosis in group A. Male, gastrointestinal cancer, and a PPS change of 10% or greater, compared with initial status 1 week and 2 weeks of hospitalization, were all predictors of poor prognosis in group A patients who survived for 2 weeks or longer. Significance of results Our research demonstrates the significance of PPS change at 1 week and 2 weeks, suggesting the importance of evaluating not only initial PPS but also change in PPS.

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