Description

Wu et al reported a recursive partitioning model for 30-day overall survival in a patient with advanced cancer being evaluated for palliative radiation therapy. The authors are from the University of Texas MD Anderson Cancer Center and University of California at San Francisco.


Patient selection: palliative radiotherapy consultation for a patient with advanced cancer

 

Outcome: 30-day overall survival

 

Parameters:

(1) inpatient vs outpatient status

(2) ECOG score

(3) age in years

(4) liver metastases

 

Status

ECOG

Age

Liver Mets

30-Day OS

outpatient

0,1, or 2

NA

NA

83% (Class I)

outpatient

3 or 4

NA

no

67% (Class III)

outpatient

3 or 4

NA

yes

81% (Class II)

inpatient

NA

< 68 years

NA

59% (Class IV)

inpatient

NA

>= 68 years

NA

41% (Class V)

 

where:

• ECOG 0 or 1 would be unusual for advanced cancer.


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