Hiratsuka et al reported the Functional Palliative Prognostic Index (FPPI) for a patient with advanced cancer. One measure is termed communicating. The authors are from multiple institutions in Japan.
Patient selection: advanced cancer
Parameters:
(1) anorexia Integrated Palliative Outcome Scale (IPOS, from 0 to 4)
(2) Palliative Performance Scale (from 10 to 100)
(3) lymphopenia (ratio of lymphocytes < 10%)
(4) oral intake
(5) total WBC count per µL
(6) serum LDH in U/L
(7) serum BUN in mg/dL
(8) lower leg edema
(9) communicating capacity scale, from 1 to 3
(10) serum potassium in mmol/L
Parameter
Finding
Points
anorexia IPOS
0 to 2
0
3 or 4 (severe or overwhelming)
1.5
Palliative Performance
> 40
0
10 to 40
2.5
ratio of lymphocytes
>= 10%
0
< 10%
3
oral intake
not others (few)
0
others (more than a few)
1.5
total WBC count
< 9,000 per µL
0
>= 9,000 per µL
1
serum LDH
< 300 U/L
0
>= 300 U/L
1.5
serum BUN
< 20 mg/dL
0
>= 20 mg/dL
2
lower leg edema
no
0
yes
1
communicating capacity
1 or 2
1
3
0
serum potassium
< 4.5 mmol/L
0
>= 4.5 mmol/L
1
where:
• Oral intake of "others" is not defined in the text. For the eating score, "more than a few" was used.
total score =
= SUM(points for all 10 parameters)
Interpretation:
• minimum score: 0
• maximum score: 16
Total Score
Risk Group
14-Day Functional Survival
0 to 6.5
A
> 76.6%
7 to 10
B
22.6 to 76.6%
10.5 to 16
C
< 22.6%
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