Prospective evaluation of the Palliative Pronostic Score tool in patients with advanced oncological disease in management with palliative support care
DOI:
https://doi.org/10.28957/rcmfr.v28n2a1Keywords:
palliative care, prognosis, mortality, prediction, care planning, tool.Abstract
Objective: To evaluate the Palliative Prognostic Score (PaP score) tool in advanced cancer patients treated at the palliative care and pain unit at the National Cancer Institute, Bogota, Colombia.
Materials and methods: A sample of 100 patients treated by the palliative care group, admitted to the hospitalization area of ??the National Cancer Institute of Bogotá, from October 13, 2015, consecutively selected, were evaluated for the predicted survival rate PaP Score, to establish survival classification (groups A, B, and C) at 30 days. Patients older than 18 yearswith diagnosis of advanced stage cancer (stages IV of the disease or defined as distant metastatic disease) were established as eligibility criteria, histologically confirmed and considered incurable with usual treatments. Survival was analyzed using the Kaplan-Meier method and the logrank test to compare the distribution of survival in the three groups of the PaP Score.
Results: the PaP Score divided the patient sample into three prognostic categories, 15 patients in group A (with a probability of 1-month survival greater than 70%), 36 patients in group B (with a probability of 30 to 70 %) and 49 patients in group C (with a probability less than 30%). The percentage of patients alive at 30 days was within the expected limits in each group, so group A (probability of survival greater than 70%) was 93.3%, in group B (probability of 30-70%) was 41.7%, and in group C (less than 30% probability) was 8.1%.
Conclusions: The use of the PaP Score index allows patients to be classified into three prognostic categories of survival, offering an option for clinical estimation of the disease in patients with advanced cancer treated in a palliative care unit; this tool is the foundation for the specialist doctor to optimize and approach care at the end of the life of the patient and his family.
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