A palliative prognostic score for terminally ill children and adolescents with cancer
Title
A palliative prognostic score for terminally ill children and adolescents with cancer
Creator
Kurashima AY; de Oliveira Latorre Maria do Rosario Dias; Camargo Beatriz de
Identifier
Publisher
Pediatric Blood & Cancer
Date
2010
Subject
Validation Studies as Topic; Validation Studies
Description
The loss of a child is considered the hardest moment in a parent's life. Studies addressing length of survival under pediatric palliative care are rare. The aim of this study was to improve a survival prediction model for children in palliative care, as accurate information positively impacts parent and child preparation for palliative care.Sixty-five children referred to a pediatric palliative care team were followed from August 2003 until December 2006. Variables investigated (also included in previous studies) were: diagnosis, home care provider, presence of anemia, and performance status score given by the home care provider. Clinical variables such as symptom number were also used to test the score's ability to predict survival.The length of survival prognostic score was validated using the above variables. The number of symptoms at transition to palliative care does not improve the score's predictive ability. The sum of the single scores gives an overall score for each patient, dividing the population into three groups by probability of 60-day survival: Group A 80.0%, Group B 38.0%, and Group C 28.5% (P < 0.001).A pediatric palliative care score based on easily accessible variables is statistically significant in multivariate analysis. Factors that increase accuracy of life expectancy prediction enable adequate information to be given to patients and families, contributing to therapeutic decision-making issues. Pediatr Blood Cancer © 2010 Wiley-Liss, Inc.
2010
Rights
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Type
Journal Article
Citation List Month
Backlog
Citation
Kurashima AY; de Oliveira Latorre Maria do Rosario Dias; Camargo Beatriz de, “A palliative prognostic score for terminally ill children and adolescents with cancer,” Pediatric Palliative Care Library, accessed May 1, 2024, https://pedpalascnetlibrary.omeka.net/items/show/13928.