Validation of the Simplified Palliative Prognostic Index Using a Single Item From the Communication Capacity Scale
| Autor: | Akira Demizu, Hideki Shishido, Masako Sekimoto, Yasuaki Gyoda, Takemi Shibata, Taketoshi Ozawa, Sen Otomo, Masahiro Goshima, Kotaro Hashimoto, Jun Nagayama, Shigeru Aoki, Hiroya Kinoshita, Tatsuya Morita, Masanori Kawahara, Yukihiko Takeda, Yuka Sugimoto, Mikako Matsunaga, Keiji Goto, Jun Hamano |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Palliative care Terminally ill Context (language use) Palliative prognostic Kaplan-Meier Estimate Single item Sensitivity and Specificity Neoplasms Medicine Humans Prospective Studies Prospective cohort study General Nursing Aged Psychological Tests business.industry Communication Palliative Care Delirium Prognosis Home Care Services Hospitals Anesthesiology and Pain Medicine Scale (social sciences) Emergency medicine Physical therapy Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of pain and symptom management. 50(4) |
| ISSN: | 1873-6513 |
| Popis: | Context Although the Palliative Prognostic Index (PPI) is a reliable and validated tool to predict the survival of terminally ill cancer patients, all clinicians cannot always precisely diagnose delirium. Objectives The primary aim of this study was to examine the predictive value of a simplified PPI. In the simplified PPI, a single item from the Communication Capacity Scale was substituted for the delirium item of the original. Methods This multicenter prospective cohort study was conducted in Japan from September 2012 through April 2014 and involved 16 palliative care units, 19 hospital-based palliative care teams, and 23 home-based palliative care services. Palliative care physicians recorded clinical variables at the first assessment and followed up patients six months later. Results A total of 2425 subjects were recruited; 2343 had analyzable data. The C-statistics of the original and simplified PPIs were 0.801 and 0.800 for three week and 0.800 and 0.781 for six-week survival predictions, respectively. The sensitivity and specificity for survival predictions using the simplified PPI were 72.9% and 67.6% (for three week) and 80.3% and 61.8% (for six week), respectively. Conclusion The simplified PPI showed essentially the same predictive value as the original PPI and is an alternative when clinicians have difficulties in diagnosing delirium. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect