Prediction of Survival in Terminal Cancer Patients in Taiwan: Constructing a Prognostic Scale
Resource
Journal of Pain and Symptom Management 28 (2): 115-122
Journal
Journal of Pain and Symptom Management
Journal Volume
28
Journal Issue
2
Pages
115-122
Date Issued
2004
Date
2004
Author(s)
CHUANG, RONG-BIN
HU, WEN-YU
CHIU, TAI- YUAN
CHEN, CHING-YU
Abstract
We prospectively identified, prognostic factors and developed a prognostic scale in 356 Taiwanese terminal cancer patients (training set). Demographic data, severity of symptoms/signs, and survival were statistically analyzed to create the scale, which was tested. in another 184 patients (testing set). In the training set, liver and lung metastases , Junctional performance status, weight loss, edema, cognitive impairment, tiredness, and ascites were independently associated with shorter survival (multivariate analysis). The scale ranged from 0.0 (no altered variables) to 8.5 (maximal alteration for all variables). When. scores were <3.5, 2-week survival was predicted with 0.72 and 0.61 accuracy for the training and testing sets, respectively. With scores <6.0, 1-week survival was predicted with 0.72 and 0.66 accuracy, respectively. This scale, which includes lung and liver metastases and severity of symptoms/ signs, may help in identifying the stage of dying and its corresponding symptoms/signs and also in improving survival prediction in terminal cancer patients. (C) 2004 U.S. Cancer Pain Relief Committee. Published. by Elsevier Inc. All rights reserved.
Subjects
prediction
survival
terminal cancer patients
palliative care
SDGs
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