Prognostication in advanced cancer: update and directions for future research

被引：133

作者：

Hui, David ^{[1
]}

Paiva, Carlos Eduardo ^{[2
]}

Del Fabbro, Egidio G. ^{[3
]}

Steer, Christopher ^{[4
,5
]}

Naberhuis, Jane ^{[1
]}

van de Wetering, Marianne ^{[6
]}

Fernandez-Ortega, Paz ^{[7
]}

Morita, Tatsuya ^{[8
,9
]}

Suh, Sang-Yeon ^{[10
,11
]}

Bruera, Eduardo ^{[1
]}

Mori, Masanori ^{[8
,9
]}

机构：

[1] Univ Texas MD Anderson Canc Ctr, Dept Palliat Care Rehabil & Integrat Med, 1515 Holcombe Blvd,Unit 1414, Houston, TX 77030 USA

[2] Barretos Canc Hosp, Dept Clin Oncol, Barretos, SP, Brazil

[3] Virginia Commonwealth Univ, Massey Canc Ctr, Div Hematol Oncol & Palliat Care, Richmond, VA USA

[4] Albury Wodonga Reg Canc Ctr, Border Med Oncol, Albury, NSW 2640, Australia

[5] UNSW Rural Clin Sch, Albury Campus, Albury, NSW 2640, Australia

[6] Acad Med Ctr, Emma Childrens Hosp, Dept Pediat Oncol, Amsterdam, Netherlands

[7] Nursing Univ Barcelona, ICO, Barcelona, Spain

[8] Seirei Mikatahara Gen Hosp, Palliat Care Team, Dept Palliat & Support Care, Shizuoka, Japan

[9] Seirei Mikatahara Gen Hosp, Seirei Hosp, Shizuoka, Japan

[10] Dongguk Univ, Dept Family Med, Ilsan Hosp, Goyang, South Korea

[11] Dongguk Univ, Dept Med, Sch Med, Seoul, South Korea

来源：

SUPPORTIVE CARE IN CANCER | 2019年 / 27卷 / 06期

基金：

美国国家卫生研究院;

关键词：

Prognostication; Cancer; Survival; Clinical decision-making; BODY-COMPOSITION; PALLIATIVE CARE; IMPENDING DEATH; NEOADJUVANT CHEMOTHERAPY; SURVIVAL PREDICTION; MODIFIED PROGNOSIS; SURPRISE QUESTION; CLINICAL SIGNS; PHASE-ANGLE; VALIDATION;

D O I：

10.1007/s00520-019-04727-y

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The objective of this review is to provide an update on prognostication in patients with advanced cancer and to discuss future directions for research in this field. Accurate prognostication of survival for patients with advanced cancer is vital, as patient life expectancy informs many important personal and clinical decisions. The most common prognostic approach is clinician prediction of survival (CPS) using temporal, surprise, or probabilistic questions. The surprise and probabilistic questions may be more accurate than the temporal approach, partly by limiting the time frame of prediction. Prognostic models such as the Glasgow Prognostic Score (GPS), Palliative Performance Scale (PPS), Palliative Prognostic Score (PaP), Palliative Prognostic Index (PPI), or Prognosis in Palliative Care Study (PiPS) predictor model may augment CPS. However, care must be taken to select the appropriate tool since prognostic accuracy varies by patient population, setting, and time frame of prediction. In addition to life expectancy, patients and caregivers often desire that expected treatment outcomes and bodily changes be communicated to them in a sensible manner at an appropriate time. We propose the following 10 major themes for future prognostication research: (1) enhancing prognostic accuracy, (2) improving reliability and reproducibility of prognosis, (3) identifying the appropriate prognostic tool for a given setting, (4) predicting the risks and benefits of cancer therapies, (5) predicting survival for pediatric populations, (6) translating prognostic knowledge into practice, (7) understanding the impact of prognostic uncertainty, (8) communicating prognosis, (9) clarifying outcomes associated with delivery of prognostic information, and (10) standardizing prognostic terminology.

引用

页码：1973 / 1984

页数：12

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