Zhang et al reported models for predicting survival for a patient undergoing surgical resection of a gastric cancer. This can help to identify a patient who may benefit from a more aggressive management. The authors are from Nantong University and affiliated hospitals in China.
Patient selection: gastric cancer undergoing gastrectomy, all age groups
Parameters:
(1) location of the cancer
(2) TNM stage
(3) T status
(4) operation
(5) chemotherapy
(6) FPR-PNI (Fibrinogen to Prealbumin Ratio and Prognostic Nutritional Index) score
Parameter
Finding
Points
location
upper
0
middle
22.5
lower
54.3
total
64.6
TNM stage
I or II
0
III or IV
100
T status
T1 or T2
0
T3 or T4
42.5
operation
distal gastrectomy
0
proximal gastrectomy
36.7
total gastrectomy
58
palliative
91.7
chemotherapy
no
0
yes
27.5
FPR-PNI
0
0
1
27.5
2
59.1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 385.4
• The higher the score the worse the overall survival.
