| Survival prediction of terminally ill cancer patients by clinical symptoms: development of a simple indicator. | |
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MedLine Citation:
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PMID: 10225699 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Although accurate prediction of survival is essential for palliative care, no clinical tools have been established. METHODS: Performance status and clinical symptoms were prospectively assessed on two independent series of terminally ill cancer patients (training set, n = 150; testing set, n = 95). On the training set, the cases were divided into two groups with or without a risk factor for shorter than 3 and 6 weeks survival, according to the way the classification achieved acceptable predictive value. The validity of this classification for survival prediction was examined on the test samples. RESULTS: The cases with performance status 10 or 20, dyspnea at rest or delirium were classified in the group with a predicted survival of shorter than 3 weeks. The cases with performance status 10 or 20, edema, dyspnea at rest or delirium were classified in the group with a predicted survival of shorter than 6 weeks. On the training set, this classification predicted 3 and 6 weeks survival with sensitivity 75 and 76% and specificity 84 and 78%, respectively. On the test populations, whether patients survived for 3 and 6 weeks or not was predicted with sensitivity 85 and 79% and specificity 84 and 72%, respectively. CONCLUSION: Whether or not patients live for 3 and 6 weeks can be acceptably predicted by this simple classification. |
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Authors:
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T Morita; J Tsunoda; S Inoue; S Chihara |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Japanese journal of clinical oncology Volume: 29 ISSN: 0368-2811 ISO Abbreviation: Jpn. J. Clin. Oncol. Publication Date: 1999 Mar |
Date Detail:
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Created Date: 1999-05-12 Completed Date: 1999-05-12 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0313225 Medline TA: Jpn J Clin Oncol Country: JAPAN |
Other Details:
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Languages: eng Pagination: 156-9 Citation Subset: IM |
Affiliation:
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Seirei Hospice, Seirei Mikatabara Hospital, Hamamatsu, Shizuoka, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Delirium / classification Dyspnea / classification Female Forecasting Humans Karnofsky Performance Status Life Expectancy* Male Middle Aged Neoplasms / mortality*, therapy Palliative Care Predictive Value of Tests Prognosis Risk Assessment Terminally Ill* |
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