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Are Prognostic Scores Better Than Clinician Judgment? A Prospective Study Using Three Models.

Yusuke Hiratsuka1, Sang-Yeon Suh1, David Hui1

  • 1Department of Palliative Medicine (Y.H.), Takeda General Hospital, Aizuwakamatsu, Japan; Department of Palliative Medicine (Y.H., A.I.), Tohoku University School of Medicine, Sendai, Japan; Department of Family Medicine (S.Y.S.), Dongguk University Ilsan Hospital, Goyang-si, South Korea; Department of Medicine (S.Y.S.), Dongguk University Medical School, Seoul, South Korea; Department of Palliative Care (D.H.), Rehabilitation and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA; Division of Palliative and Supportive Care (T.M., M.M.), Seirei Mikatahara General Hospital, Hamamatsu, Japan; Department of Biostatistics (S.O.), JORTC Data Center, Tokyo, Japan; Department of Palliative Medicine (K.A.), National Cancer Center Hospital, Tokyo, Japan; Seirei Hospice (K.I.), Seirei Mikatahara General Hospital, Hamamatsu, Japan; Department of Palliative Medicine (M.B.), Suita Tokushukai Hospital, Suita, Japan; Department of Internal Medicine (H.K.), Hatsukaichi Memorial Hospital, Hatsukaichi, Japan; Department of Palliative Medicine (T.H.), Tsukuba Medical Center Hospital, Tsukuba, Japan; Department of Palliative Care (I.M.), Senri Chuo Hospital, Toyonaka, Japan; Division of Clinical Medicine (J.H.), Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

Journal of Pain and Symptom Management
|June 20, 2022
PubMed
Summary

Clinician's Prediction of Survival (CPS) and Palliative Prognostic Score (PaP) demonstrated superior prognostic performance compared to Palliative Performance Scale (PPS) and Palliative Prognostic Index (PPI) in palliative care unit patients. These findings aid in selecting appropriate prognostic tools for diverse clinical experience levels.

Keywords:
Prognosticationadvanced cancercalibrationdiscriminationend of lifepalliative care unit

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