Terminal Cancer Survival Using Karnofsky Score & Key Symptoms

Description

Reuben et al used the Karnofsky score and the number of key symptoms to predict survival in patients with terminal cancer. The authors were from Providence, Rhode Island.

The Karnofksy score ranges from 0 (dead) to 100 (normal).

Key symptoms - numbers present range from 0 to 5:

(1) dry mouth

(2) dyspnea, shortness of breath

(3) problems with eating or anorexia

(4) trouble swallowing

(5) weight loss

50% Survival (50% Mortality)

Symptoms Present	Karnofsky Score 10 – 20	Karnofsky Score 30 – 40	Karnofsky Score >= 50
0	53 days	115 days	172 days
1	38 – 46 days	83 – 98 days	125 – 191 days
2	29 – 38 days	63 – 82 days	95 – 123 days
3	23 – 30 days	50 – 65 days	75 – 97 days
4	19 – 23 days	41 – 49 days	62 – 74 days
5	16 days	36 days	54 days

10% Survival (90% Mortality)

Symptoms Present	Karnofsky Score 10 – 20	Karnofsky Score 30 – 40	Karnofsky Score >= 50
0	232 days	450 days	450 days
1	168 – 199 days	362 – 428 days	450 days
2	128 – 165 days	275 – 356 days	413 – 450 days
3	101 – 131 days	218 – 283 days	328 – 424 days
4	84 – 100 days	181 – 215 days	272 – 322 days
5	72 days	156 days	234 days

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Description

Specialty

Objective

ICD-10

Survival in Patients with Terminal Cancer Using Karnofsky Score and Key Symptoms

Purpose: To estimate survival in a patient with terminal cancer based on Karnofsky score and the presence of key symptoms.

Description

Specialty

Objective

ICD-10