Lin et al reported a predictive equation for patients with head and neck cancer. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Taiwan.
Patient selection: head and neck cancer
Outcome: 90-mortality after completion of concurrent chemoradiation
Parameters:
(1) age of the patient in years
(2) pneumonia
(3) sepsis
(4) hemiplegia
(5) renal disease
(6) leukemia
(7) other metastatic solid cancer
Parameter
Findings
Points
age in years
< 50 years
0
50 to 69 years
1
>= 70 years
2
pneumonia
absent
0
present
1
sepsis
absent
0
present
3
hemiplegia
absent
0
present
1
renal disease
none or mild
0
moderate or severe
2
leukemia
absent
0
present
4
other metastatic cancer
absent
0
present
1
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 14
• The higher the score the greater the 90-day mortality.
Total Score
90-Day Mortality
0
3%
1
5%
2
7%
3
11%
4
16%
5
24%
6
29%
7
34%
8
25%
>= 9
38%
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