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

Zhou, Jun; Xu, Sitao; Cao, Ziye; Tang, Jing; Fang, Xiang; Ling, Qin; Zhou, Fangping; He, Yuzhen; Zhong, Xueren; Hu, Mingcai; Wang, Yan; Lu, Fengjuan; Bao, Yongzheng; Dai, Xiangheng; Wu, Qiang

doi:10.1186/s12904-020-00676-0

Cited by 13 publications

(17 citation statements)

References 56 publications

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“…For these purposes, some prognostic indexes have been developed and are also used by clinicians (18). Feliu Prognostic Nomogram (FPN), Palliative Performance Scale (PPS), Palliative Prognostic Index (PPI), and Palliative Prognostic (PaP) Score are some of the prognostic indexes used in cancer patients (19,20). PaP score is a score calculated by the parameters of Clinical Prediction of Survival (CPS), Karnofsky Performance Status (KPS), total white blood count (WBC), lymphocyte percentage, anorexia, and dyspnea.…”

Section: Discussionmentioning

confidence: 99%

Role of systemic immune-inflammation index in predicting mortality in cancer patients in palliative care units

TUTAN¹,

Eskin

2023

Journal of Health Sciences and Medicine

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Aim: In our study, we aimed to investigate whether the systemic immune-inflammation index (SII) can evaluate mortality in cancer patients treated in the palliative care unit (PCU). Material and Method: Cancer patients who received palliative care treatments in the PCU were screened retrospectively, and 309 patients were included in the study. The patients were divided into two groups; hospitalizations ending with discharge as Group 1 (n=154) and hospitalizations ending with exitus as Group 2 (n=155). SII values of the two groups were compared. SII was calculated with the formula of neutrophil count x platelet count / lymphocyte count. To determine the best cut-off value for the mortality distinction ability of the SII, a Receiver Operating Curve (ROC) analysis was used. Results: The mean age and distribution of genders of the two groups were similar (p=0.706, p=0.964). There was a statistically significant difference between the SII values of the two groups (p

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Section: Discussionmentioning

confidence: 99%

Role of systemic immune-inflammation index in predicting mortality in cancer patients in palliative care units

TUTAN¹,

Eskin

2023

Journal of Health Sciences and Medicine

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“…13 In the prognostic models, the validation study OA of each group of PPI ranged between 66.7% and 79%. 12 In the study that developed the model, the OA of OPS was 75%. 11 Compared with previous studies, the OA of each prognostic model presented in this study were lower.…”

Section: Discussionmentioning

confidence: 99%

Prognosis palliative care study, palliative prognostic index, palliative prognostic score and objective prognostic score in advanced cancer: a prospective comparison

Lee

Choi

et al. 2021

BMJ Support Palliat Care

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BackgroundPredicting how long a patient with far advanced cancer has to live is a significant part of hospice and palliative care. Various prognostic models have been developed, but have not been fully compared in South Korea.ObjectivesWe aimed to compare the accuracy of the Prognosis in Palliative Care Study (PiPS), Palliative Prognostic Index (PPI), Palliative Prognostic Score (PaP) and Objective Prognostic Score (OPS) for patients with far advanced cancer in a palliative care unit in South Korea.MethodsThis prospective study included patients with far advanced cancer who were admitted to a single palliative care unit at the National University Hospital. Variables for calculating the prognostic models were recorded by a palliative care physician. The survival rate was estimated using the Kaplan-Meier method. The sensitivity, specificity, positive predictive value and negative predictive value of each model were calculated.ResultsA total of 160 patients participated. There was a significant difference in survival rates across all groups, each categorised through the five prognostic models. The overall accuracy (OA) of the prognostic models ranged between 54.5% and 77.6%. The OA of clinicians’ predictions of survival ranged between 61.9% and 81.3%.ConclusionThe PiPS, PPI, PaP and OPS were successfully validated in a palliative care unit of South Korea. There was no difference in accuracy between the prognostic models, and OA tended to be lower than in previous studies.

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“…En varios estudios se muestran las dificultades en predecir la sobrevida o el índice de pronóstico paliativo (IPP) (29)(30)(31) . En un estudio prospectivo en pacientes con supervivencia entre 3 y 6 semanas, la predicción del pronóstico mostró sensibilidades respectivas del 60,0 % y 70,6 %, y especificidades del 87,0 % y 71,9 %.…”

Section: Nutrición Parenteral Y Supervivenciaunclassified

¿Cómo alimentar al paciente en cuidados paliativos? Una revisión narrativa

Cárdenas¹

2021

Rev. Nutr. Clin. Metab.

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La desnutrición es una enfermedad común en pacientes con enfermedades incurables que se benefician de cuidados paliativos. El cuidado nutricional, parte integral del tratamiento de estos pacientes, permite la administración adecuada de la terapia nutricional oral, enteral o parenteral. En este contexto, la terapia nutricional está indicada con el objetivo de aumentar la supervivencia y la calidad de vida en algunos pacientes, como aquellos con problemas neurológicos o cáncer. Sin embargo, existe gran controversia sobre sus indicaciones y los beneficios potenciales, en particular, los de la nutrición parenteral a domicilio. Por tanto, el objetivo de esta revisión es responder a dos preguntas: ¿Cuándo se debe iniciar y detener la terapia nutricional? ¿La terapia nutricional mejora la calidad de vida y prolonga la sobrevida de los pacientes en cuidados paliativos? Las sociedades científicas no recomiendan la introducción de la terapia nutricional en todos los casos de desnutrición, especialmente en pacientes hipofágicos, si su esperanza de vida es inferior a 2 meses. La nutrición parenteral puede beneficiar a algunos pacientes bien identifica-dos, al aumentar el tiempo de supervivencia, sin embargo, el impacto en la calidad de vida sigue siendo incierto. Las decisiones deben tomarse de manera individualizada y respetando la autonomía del paciente, evitando el encarnizamiento terapéutico. La investigación en este campo debe avanzar para poder determinar, con mayor certitud, la relación riesgo-beneficio de la terapia nutricional.

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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

Cited by 13 publications

References 56 publications

Role of systemic immune-inflammation index in predicting mortality in cancer patients in palliative care units

Role of systemic immune-inflammation index in predicting mortality in cancer patients in palliative care units

Prognosis palliative care study, palliative prognostic index, palliative prognostic score and objective prognostic score in advanced cancer: a prospective comparison

¿Cómo alimentar al paciente en cuidados paliativos? Una revisión narrativa

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