Determining timeline in end of life care

Determining time to death in cancer patients on palliative care is often wanted/needed by the family, but hard to predict by the health care team. In this large multi-center prospective analysis of >1000 advanced cancer patients no longer undergoing treatment, researchers determined 11 variables (some clinical, some lab tests) had an area under the curve around .86 for predicting if the patient would live for days (<2 weeks), weeks (~2 weeks to 2 month), or months (~2 months). It also performed well without the lab values. This relatively easy prognostic score can help determine timeline at the end of life of advanced cancer patients (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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