Zhang et al reported models for predicting survival for an older adult 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, age >= 60 years
Parameters:
(1) TNM stage
(2) T status
(3) operation
(4) FPR-PNI (Fibrinogen to Prealbumin Ratio and Prognostic Nutritional Index) score
Parameter
Finding
Points
TNM stage
I or II
0
III or IV
89.6
T status
T1 or T2
0
T3 or T4
49.6
operation
distal gastrectomy
13.2
proximal gastrectomy
0
total gastrectomy
31.1
palliative
100
FPR-PNI
0
0
1
59
2
70
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 309.2
• The higher the score the worse the overall survival.
