Gaiger et al reported the Cancer Survival Index to determine the prognosis for a cancer patient. This can help to identify a patient who may have a shorter survival requiring more aggressive management else palliative care. The authors are from the Medical University of Vienna.
Patient selection: cancer
Parameters:
(1) metastatic disease (Stage 4)
(2) higher risk cancer site
(3) depression on HADS tool
(4) hemoglobin in g/dL
(5) sex
Parameter
Finding
Points
metastatic cancer
no
0
yes (HR 1.9)
1
higher risk cancer site
no (breast, other)
0
yes (colon, lung, etc; HR 3.6)
1
depression
no
0
yes (HR 1.4)
1
hemoglobin
>= 11 g/dL (HR 0.54)
0
< 11 g/dL
1
sex
male
1
female (HR 0.75)
0
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 5
Total Score
Risk Category
Estimated Mean OS
0
low
198 months
1 or 2
intermediate
141 months
3 to 5
high
47 months
The authors also reported the Cancer Depression Index based on metastasis, hemoglobin, employment and previous psychiatric disorder.
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