The Palliative Prognostic (PaP) Score can be used to estimate short term survival for terminally ill cancer patients. It was developed by the Italian Multicenter and Study Group for Palliative Care.
Parameters:
(1) dyspnea
(2) anorexia
(3) Karnofsky Performance Scale (KPS)
(4) Clinical Prediction of Survival (CPS), in weeks (based on physician's clinical experience)
(5) total white blood cell (WBC) count
(6) percent lymphocytes in differential count
|
Parameter |
Finding |
Partial Score |
|
dyspnea |
no |
0 |
|
|
yes |
1 |
|
anorexia |
no |
0 |
|
|
yes |
1.5 |
|
Karnofsky Performance Scale (KPS) |
>= 50 |
0 |
|
|
30 – 40 |
0 |
|
|
10 - 20 |
2.5 |
|
Clinical Prediction of Survival (CPS) |
> 12 weeks |
0 |
|
|
11 – 12 weeks |
2.0 |
|
|
9 – 10 weeks |
2.5 |
|
|
7 – 8 weeks |
2.5 |
|
|
5 – 6 weeks |
4.5 |
|
|
3 – 4 weeks |
6.0 |
|
|
1 – 2 weeks |
8.5 |
|
total WBC count |
4,800 – 8,500 per µL (normal) |
0 |
|
|
8,501 – 11,000 per µL (high) |
0.5 |
|
|
> 11,000 per µL (very high) |
1.5 |
|
lymphocyte percentage |
20 – 40% (normal) |
0 |
|
|
12 – 19.9% (low) |
1.0 |
|
|
0 – 11.9% (very low) |
2.5 |
palliative prognostic score =
= SUM(partial scores for all 6 parameters)
Interpretation:
• minimum score: 0
• maximum score: 17.5
|
Palliative Prognostic Score |
Probability of 30 Day Survival |
|
0 – 5.5 |
> 70% |
|
5.6 – 11.0 |
30 – 70% |
|
11.1 – 17.5 |
< 30% |
Purpose: To use the Palliative Prognostic (PaP) Score to estimate survival in a terminally ill cancer patient.
Specialty: Hematology Oncology, Surgery, general
Objective: severity, prognosis, stage
ICD-10: C80.9,
