Wu et al reported a recursive partitioning model for 30-day overall survival in a patient with advanced cancer being evaluated for palliative radiation therapy. The authors are from the University of Texas MD Anderson Cancer Center and University of California at San Francisco.
Patient selection: palliative radiotherapy consultation for a patient with advanced cancer
Outcome: 30-day overall survival
Parameters:
(1) inpatient vs outpatient status
(2) ECOG score
(3) age in years
(4) liver metastases
Status
ECOG
Age
Liver Mets
30-Day OS
outpatient
0,1, or 2
NA
NA
83% (Class I)
outpatient
3 or 4
NA
no
67% (Class III)
outpatient
3 or 4
NA
yes
81% (Class II)
inpatient
NA
< 68 years
NA
59% (Class IV)
inpatient
NA
>= 68 years
NA
41% (Class V)
where:
• ECOG 0 or 1 would be unusual for advanced cancer.
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