Title: Fast Fact and Concept #13: Determining Prognosis in Advanced Cancer
Author(s): Weissman, D.
This Fast Fact and Concept reviews prognostic indicators and performance status scales for cancer patients. The information is suitable for rounds discussion or as a handout at a teaching conference.
Several common cancer syndromes have well-documented short median survival times:
den Daas, N. Estimating length of survival in end-stage cancer: a review of the literature. J Pain Symp Manage 10:548-555, 1995; Lassauniere JM and Vinant P. Prognostic factors , survival and advanced cancer. J Pall Med 8:52-54, 1992; Miller RJ. Predicting survival in the advanced cancer patient. Henry Ford Hosp Med J 39:81-84, 1991; Ralston SH, et al. Cancer associated hypercalcemia. Ann Int Med 112:499:504, 1990; Reuben DB and Mor V. Clinical symptoms and length of survival in patients with terminal cancer. Arch Int Med 148:1586-1591, 1988.
Fast Facts and Concepts are developed and distributed as part of the National Internal Medicine Residency End-of-Life Education project, funded by the Robert Wood Johnson Foundation.
Copyright Notice: Users are free to download and distribute Fast Facts for educational purposes only. Citation for referencing: Weissman, D. Fast Fact and Concepts #13: Determining Prognosis in Advanced Cancer. June, 2000. End-of-Life Physician Education Resource Center www.eperc.mcw.edu.
Disclaimer: Fast Facts provide educational information, this information is not medical advice. Health care providers should exercise their own independent clinical judgment. Some Fast Fact information cites the use of a product in dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.
Creation Date: 5/2000
Purpose: Instructional Aid, Teaching
|Training: Fellows, 1st/2nd Year Medical Students, PGY1 (Interns), PGY2-6, Physicians in Practice|
|Specialty: Anesthesiology, Emergency Medicine, Family Medicine, General Internal Medicine, Geriatrics, Hematology/Oncology, Neurology, OB/GYN, Ophthalmology, Pulmonary/Critical Care, Pediatrics, Psychiatry, Surgery|
|Non-Physician: Clergy/Chaplains, General Public, Graduate Students, Lawyers, Patients/Families, Nurses, Social Workers|
ACGME Competencies: Medical Knowledge, Patient Care
Keyword(s): Cancer, Medicare hospice benefit, Prognosis
The Fast Facts series is distributed for educational use only and does not constitute medical advice. For the most current version of Fast Facts visit the EPERC web site at www.eperc.mcw.edu. This mirror version is provided subject to copyright restrictions for educational use within the Inter-Instutional Collaborating Network on End-of-Life Care (IICN).