The burden of cancer mortality continues to increase in developing countries, most likely due to the advanced stage at diagnosis. Since the treatment for this population is not of curative intent, identifying the terminal stage is important. The palliative prognostic score (PaP score) can be used to predict the probability of survival within 30 days in patients with advanced/metastatic cancer. PaP score consists of three iso-prognostic groups of the heterogenous patient related to the chance of 30 days survival. There are group A, with score 0-5.5 (the probability of survival within 30 days is > 70%, group B, with score 6-11 (the probability of survival within 30 days is 30%-70%), and group C, with score 11.5-17.5 (the probability of survival within 30 days is
The design of this prognostic study was cohort, which included 159 inpatients and outpatients with metastatic cancer visited Tulip Cancer Clinic RSUP Dr. Sardjito, Yogyakarta, between May 2015-May 2016. The PaP score was calculated for this population. The positive predictive value of PaP score was evaluated and survival analysis was performed to compare the survival of the three groups.
PaP score was tested in 159 subjects with overall median survival of 90 days; 76 patients were included in group A, 22 patients in group B, and 61 patients in group C. The 30-days survival probability was 98.7% for group A (median survival could not be assessed), 63.6% for group B (median survival is 35 days) and 3.3% for group C (median survival is 6 days). These survival differences were highly significant (log-rank test of trends, X2=203,97; p
PaP score is a valid test tool in determining prognosis in patients with metastatic cancer with high accuracy and precision to predict survival within 30 days.
Clinical trial identification
Medical and Health Research Ethics Committee (MHREC) Faculty of Medicine Gadjah Mada University Dr. Sadjito General Hospital Ethics Committee Approval Ref: KF/FK460/EC.
Legal entity responsible for the study
Dr. Sardjito Hospital Yogyakarta Indonesia
All authors have declared no conflicts of interest.