Clinical prediction of survival is more accurate than the Karnofsky performance status in estimating life span of terminally ill cancer patients
Autor: | Stefania Derni, Oriana Nanni, Roberta Maltoni, Nada Riva, Laura Fabbri, Dino Amadori, M.P. Innocenti, Marco Maltoni |
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Rok vydání: | 1994 |
Předmět: |
Adult
Male Oncology Cancer Research medicine.medical_specialty Palliative care Adolescent Correlation coefficient Terminally ill Severity of Illness Index Life Expectancy Neoplasms Internal medicine Severity of illness medicine Humans Karnofsky Performance Status Child Intensive care medicine Aged Aged 80 and over Terminal Care Life span business.industry Cancer Middle Aged Prognosis medicine.disease Predictive value Italy Female business |
Zdroj: | European Journal of Cancer. 30:764-766 |
ISSN: | 0959-8049 |
DOI: | 10.1016/0959-8049(94)90289-5 |
Popis: | Predicting the survival of terminally ill cancer patients can help in informing patients and their families, in programming therapy and assistance models, and in utilising existing resources correctly. Clinical prediction of survival (CPS) and Karnofsky performance status (KPS) are two factors which have already been described in the literature. The aim of our study was to verify their respective predictive value with regard to actual survival. In our study of 100 consecutive patients, the CPS obtained a higher prediction accuracy than that reported previously (correlation coefficient with actual survival = 0.51) and than that obtained with KPS alone (correlation coefficient = 0.37). The median difference between predicted and expected survival was only 1 week. The resultant predictivity could be further improved by integrating other prognostic factors studied in larger prospective, multicentric studies. |
Databáze: | OpenAIRE |
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