%0 Journal Article
%T Survival Prediction of Patients Who Were Terminally Ill Using the EORTC QLQ-C15-PAL Scores and Laboratory Test Values.
%A Matsumura C
%A Koyama N
%A Okuno K
%A Nakamura N
%A Sako M
%A Kurosawa H
%A Nomura T
%A Eguchi Y
%A Ohba K
%A Yano Y
%J Palliat Med Rep
%V 4
%N 1
%D 2023
%M 37637762
暂无%R 10.1089/pmr.2023.0015
%X <B>UNASSIGNED: </B>Prognostics for patients with cancer is especially important for the supportive care of those who are terminally ill. We previously found that symptom scores as patient-reported outcomes (PROs)-such as dyspnea and fatigue scores-some biochemical parameters, the palliative performance scale (PPS) scores, and symptom clusters were useful prognostic factors; however, the predictability of a prognosis based on these factors remains unclear.<BR><B>UNASSIGNED: </B>To identify appropriate three-week survival predictive factor(s), in terms of performance, in patients who were terminally ill.<BR><B>UNASSIGNED: </B>We collected symptom scores as PROs using the Japanese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative Care (EORTC QLQ-C15-PAL).<BR><B>UNASSIGNED: </B>We used data from terminally ill patients with cancer who were hospitalized at the palliative care unit of the Higashisumiyoshi-Morimoto Hospital (Osaka, Japan) from June 2018 to December 2019 (n = 130), as well as additional data obtained from the same clinical study from January to March 2020 (n = 31).<BR><B>UNASSIGNED: </B>To evaluate predictive performance, indices such as sensitivity, specificity, positive predictive value, negative predictive value, and overall accuracy were calculated.<BR><B>UNASSIGNED: </B>We found that the presence of a symptom cluster showed high sensitivity but low specificity and that a higher PPS value (>30) showed high specificity but low sensitivity, suggesting that these factors could provide relevant information for survival prognosis (less than or equal to three weeks).<BR><B>UNASSIGNED: </B>Symptom clusters obtained from patients is important for effective supportive care of those who are terminally ill.