TY - JOUR T1 - Prognosis palliative care study, palliative prognostic index, palliative prognostic score and objective prognostic score in advanced cancer: a prospective comparison JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care DO - 10.1136/bmjspcare-2021-003077 SP - bmjspcare-2021-003077 AU - Seung Hun Lee AU - Jeong Gyu Lee AU - Young Jin Choi AU - Young Mi Seol AU - Hyojeong Kim AU - Yun Jin Kim AU - Yu Hyeon Yi AU - Young Jin Tak AU - Gyu Lee Kim AU - Young Jin Ra AU - Sang Yeoup Lee AU - Young Hye Cho AU - Eun Ju Park AU - Youngin Lee AU - Jungin Choi AU - Sae Rom Lee AU - Ryuk Jun Kwon AU - Soo Min Son Y1 - 2021/07/01 UR - http://spcare.bmj.com/content/early/2021/07/01/bmjspcare-2021-003077.abstract N2 - Background Predicting 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.Objectives We 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.Methods This 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.Results A 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%.Conclusion The 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.No data are available. All data will be deleted after the study is completed according to the direction of the Research Ethics Committee of Pusan National University Hospital. ER -