RT Journal Article
SR Electronic
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
FD British Medical Journal Publishing Group
SP bmjspcare-2021-003077
DO 10.1136/bmjspcare-2021-003077
A1 Seung Hun Lee
A1 Jeong Gyu Lee
A1 Young Jin Choi
A1 Young Mi Seol
A1 Hyojeong Kim
A1 Yun Jin Kim
A1 Yu Hyeon Yi
A1 Young Jin Tak
A1 Gyu Lee Kim
A1 Young Jin Ra
A1 Sang Yeoup Lee
A1 Young Hye Cho
A1 Eun Ju Park
A1 Youngin Lee
A1 Jungin Choi
A1 Sae Rom Lee
A1 Ryuk Jun Kwon
A1 Soo Min Son
YR 2021
UL http://spcare.bmj.com/content/early/2021/07/01/bmjspcare-2021-003077.abstract
AB 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.