Kurashima et al developed a score for evaluating a terminally-ill child or adolescent with cancer. The authors are from Hospital A.C. Camargo , Rua Prof. Antonio Prudente, Sao Paulo, Brazil.
Patient selection: pediatric patient with terminal cancer
Outcome: 60-day survival
Parameters:
(1) cancer diagnosis
(2) hemoglobin in g/dL
(3) Performance Status given by home care giver, from 0 to 100 (Play scale for 0 to 16, Karnofsky scale 16 to 18)
(4) home care giver
Parameter
Finding
Points
cancer diagnosis
solid tumor
0
CNS tumor
0
leukemia
1.5
lymphoma
1.5
hemoglobin
>= 8 g/dL
0
< 8.0 g/dL
1.5
Performance Status
80 to 100
0
20 to 70
1
0 or 10
2.5
home care giver
mother
0
other
1
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6.5
• The higher the score the less the 60-day survival.
Total Score
Risk Groups
60-Day Survival
0
A
80%
1.0 to 1.5
B
38%
2.0 to 6.5
C
29%
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