Journal of Pain and Symptom Management
Volume 38, Issue 1 , Pages 134-144 , July 2009

Using the Palliative Performance Scale to Provide Meaningful Survival Estimates

  • Francis Lau, PhD

      Affiliations

    • School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada
    • Corresponding Author InformationAddress correspondence to: Francis Lau, PhD, School of Health Information Science, University of Victoria, P.O. Box 3050 STN CSC, Victoria, British Columbia, V8W 3P5, Canada.
  • ,
  • Michael Downing, MD

      Affiliations

    • Victoria Hospice Society, Victoria, British Columbia, Canada
  • ,
  • Mary Lesperance, PhD

      Affiliations

    • Department of Mathematics and Statistics, University of Victoria, Victoria, British Columbia, Canada
  • ,
  • Nicholas Karlson, PhD

      Affiliations

    • Statistical Consulting Centre, University of Victoria, Victoria, British Columbia, Canada
  • ,
  • Craig Kuziemsky, PhD

      Affiliations

    • Telfer School of Management, University of Ottawa, Ottawa, Ontario, Canada
  • ,
  • Ju Yang, BSc

      Affiliations

    • School of Health Information Science, University of Victoria, Victoria, British Columbia, Canada

,Accepted 16 June 2008.

  • Image Result

    Kaplan-Meier survival curves by initial PPS.

    Kaplan-Meier survival curves by initial PPS.

  • Image Result

    A survival nomogram based on age, gender, location, diagnosis, and PPS. To illustrate its use, consider the example of an 86-year-old male patient with initial PPS of 20%, admitted from home PRT with

    A survival nomogram based on age, gender, location, diagnosis, and PPS. To illustrate its use, consider the example of an 86-year-old male patient with initial PPS of 20%, admitted from home PRT with noncancer cardiovascular disease. The covariate points are: AGE=“e” for 10 points, GENDER=“M” for 8 points, LOCATION=“home PRT” for 10 points, DX=“o” for 3 points, PPS=“20%” for 77 points, for total points of 108. Then, drawing a vertical line downward from the total points calculated yields a median survival of just over two days, first (75th) quartile of just over four days, and third (25th) quartile of one day.

 Funding for this study was provided by the Canadian Institutes for Health Research New Emerging Team grant in palliative and end-of-life care.

PII: S0885-3924(08)00652-0

doi: 10.1016/j.jpainsymman.2008.05.017

Journal of Pain and Symptom Management
Volume 38, Issue 1 , Pages 134-144 , July 2009