Suh and Ahn developed a prognostic score for a patient with terminal cancer. The authors are from Dongguk University International Hospital in Gyeonggi-do, Republic of Korea.
NOTE: Other scores by Suh include 27.57.23 and 27.57.29.
Patient selection: terminal cancer
Parameters:
(1) pain
(2) fatigue
(3) ECOG performance status
(4) hypotension (systolic blood pressure < 90 mm Hg0
(5) serum CRP (C-reactive protein)
(6) serum uric acid
(7) serum LDH
|
Parameter |
Finding |
Points |
|
pain |
none or mild |
0 |
|
|
moderate or severe |
1 |
|
fatigue |
no |
0 |
|
|
yes |
1.5 |
|
ECOG performance |
0 to 3 |
0 |
|
|
4 |
1 |
|
hypotension |
no |
0 |
|
|
yes |
4 |
|
serum CRP |
< 9.5 mg/dL |
0 |
|
|
>= 9.5 mg/dL |
1 |
|
serum uric acid |
< 7.2 mg/dL |
0 |
|
|
>= 7.2 mg/dL |
1.5 |
|
serum LDH |
< 313 IU/L |
0 |
|
|
>= 313 IU/L |
1 |
where:
• The method and reference ranges for CRP, uric acid and LDH are not given.
total score =
= SUM(points for all 7 parameters)
Interpretation:
• minimum score: 0
• maximum score: 11
• A higher score is associated with a worse survival.
|
Score |
50% Survival |
0% Survival |
|
0 to 2.4 |
33 days |
79 days |
|
2.5 to 11 |
13 days |
45 days |
Purpose: To predict survival of a patient with terminal cancer using the prognostic score of Suh and Ahn.
Specialty: Hematology Oncology, Surgery, general
Objective: severity, prognosis, stage, end-of-life, palliative care
ICD-10: C79, Z51.5,
