A Palliative Prognostic Score for Terminally Ill Children and Adolescents With Cancer

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dc.contributor.authorKurashima, Andrea Yamaguchi
dc.contributor.authorDias de Oliveira Latorre, Maria do Rosario
dc.contributor.authorCamargo, Beatriz de
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade de São Paulo (USP)
dc.date.accessioned2016-01-24T14:05:43Z
dc.date.available2016-01-24T14:05:43Z
dc.date.issued2010-12-01
dc.description.abstractBackground. the loss of a child is considered the hardest moment in a parent's life. Studies addressing length of survival under pediatric palliative care are rare. the aim of this study was to improve a survival prediction model for children in palliative care, as accurate information positively impacts parent and child preparation for palliative care. Procedure. Sixty-five children referred to a pediatric palliative care team were followed from August 2003 until December 2006. Variables investigated (also included in previous studies) were: diagnosis, home care provider, presence of anemia, and performance status score given by the home care provider. Clinical variables such as symptom number were also used to test the score's ability to pre-validated using the above variables. the number of symptoms at transition to palliative care does not improve the score's predictive ability. the sum of the single scores gives an overall score for each patient, dividing the population into three groups by probability of 60-day survival: Group A 80.0%, Group B 38.0%, and Group C 28.5% (P < 0.001). Conclusion. A pediatric palliative care score based on easily accessible variables is statistically significant in multivariate analysis. Factors that increase accuracy of life expectancy prediction enable adequate information to be given to patients and families, contributing to therapeutic decision-making issues. Pediatr Blood Cancer. 2010;55:1167-1171. (C) 2010 Wiley-Liss, Inc.en
dc.description.affiliationHosp AC Camargo Fund Antonio Prudente, Dept Pediat, São Paulo, Brazil
dc.description.affiliationUniv São Paulo, Fac Saude Publ, Hosp AC Camargo, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1167-1171
dc.identifierhttp://dx.doi.org/10.1002/pbc.22644
dc.identifier.citationPediatric Blood & Cancer. Hoboken: Wiley-liss, v. 55, n. 6, p. 1167-1171, 2010.
dc.identifier.doi10.1002/pbc.22644
dc.identifier.issn1545-5009
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/33109
dc.identifier.wosWOS:000283757600022
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofPediatric Blood & Cancer
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://olabout.wiley.com/WileyCDA/Section/id-406071.html
dc.subjectpalliative careen
dc.subjectpediatric oncologyen
dc.subjectpredictive modelen
dc.titleA Palliative Prognostic Score for Terminally Ill Children and Adolescents With Canceren
dc.typeinfo:eu-repo/semantics/article
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