Souwer et al reported a prognostic score for an older patient with colorectal cancer. This can help to identify a patient who may require more aggressive management. The authors are from multiple institutions in The Netherlands.
Patient selection: adult with colorectal cancer, age >= 70 years
Parameters (from the Dutch VMS risk assessment tool):
(1) Katz index for activities of daily living (ADL, from 0 to 6)
(2) fall risk
(3) malnutrition risk (using SNAQ or MUST)
(4) delirium risk
Parameter
Finding
Points
Katz index
0 or 1
0
2 to 6
1
fall risk
no
0
yes
1
malnutrition risk
no
0
yes
1
delirium risk
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
Score
Risk Group
0
low risk
1 or 2
intermediate risk
3 or 4
high risk
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