Wallengren et al studied the impact of cancer cachexia on the quality of life of a palliative care patient. Certain features can help to identify a patient who may benefit from interventions to improve quality of life. The authors are from Sahlgrenska University Hospital in Gothenburg, Sweden.

Patient selection: palliative care patient with cancer


Predictors of a worse quality of life:

(1) weight loss > 2% (based on habitual weight prior to onset of cancer)

(2) body mass index (BMI) < 20 kg per square meter

(3) serum CRP > 10 mg/L

(4) fatigue > 3 on a 10 cm VAS scale


Predictors of short walking distance:

(1) fatigue > 3 on a 10 cm VAS scale

(2) low grip strength (lowest tertile)

(3) ESR > 20 mm in first hour

(4) CRP > 10 mg/L

(5) serum albumin < 35 g/L

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