Hiratsuka et al reported the Functional Palliative Prognostic Index (FPPI) for a patient with advanced cancer. One measure is termed eating. 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
Parameter
Finding
Points
anorexia IPOS
0 to 2
0
3 or 4 (severe or overwhelming)
2
Palliative Performance
> 40
0
10 to 40
1
ratio of lymphocytes
>= 10%
0
< 10%
1.5
oral intake
few
0
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
serum BUN
< 20 mg/dL
0
>= 20 mg/dL
1
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
Total Score
Risk Group
14-Day Functional Survival
0 to 3
A
> 71.8%
3.5 to 5.5
B
29.6 to 71.8%
6 to 9
C
< 29.6%
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