PROGNOSIS IN CANCER
Unresectable ( Advanced ) or Metastatic Disease Maximal Therapy % Alive 1 Year
Prognostic Indicators
Median Survival ( months )
Median Survival
Indicator
Criteria
Bladder (TCC)
26 %
12
KPS KPS KPS
50‒60 % 20‒30 % 10‒20 %
90 days 50 days 17 days
Brain Metastases (all comers) Brain, Glioblastoma Multiforme
-
7
30 % 72 % 20 % 36 % 35 % 20 % 23 % 26 %
14 24
Breast
ECOG ECOG
3 4
3 months 1 month < 6 months < 6 months < 6 months 7 months 3 months 1 month
Cervix, Squamous
9
Colorectal
20‒24
Anorexia
Persistent < 2.5 mg/dl
Carcinoma Primary Unknown
8‒13
Serum Albumin
Esophageal
10‒12
Weight Loss
> 10 %
Stomach
6‒12 7‒10
Multiple Brain Metastases Multiple Brain Metastases Multiple Brain Metastases
XRT
Head and Neck
Steroids
Kidney
--- ---
15‒24
No Treatment
Liver
8‒10 6‒15 6‒12
Delirium Dyspnea
Persistent Persistent Persistent Persistent
6 weeks
Lung Cancer, Non Small Cell Lung Cancer, Small Cell Extensive
25 %
< 6 months 1 month 4 months
---
Hypercalcemia
Melanoma
70‒80 %
20‒24 15‒24
Malignant Pleural Effusion
Ovarian
59 % 27 %
Updated in 2017 from Emanuel LL. Ferris FD, von Gunten CF, Von Roenn J. EPEC-O: Education in Palliative an End-of-life Care for Oncology. © The EPEC Project Chicago, IL, 2005, Open Access at www.P ALL M ED .us
Pancreatic Prostatic
6‒11
--- ---
49
Sarcoma
12‒14
54 NB: These Reference Cards do not replace careful clinical judgment specific to each patient / family situation. PCIC: Palliative Care Interdisciplinary Curriculum is a collaborative effort of OhioHealth, The Ohio State University Wexner Medical Center, and Nationwide Children’s Hospital in Columbus, Ohio, USA, and other contributors. Permission to reproduce any or all of these PCIC Reference Cards is granted for non-commercial educational purposes only, provided that the attribution statement and copyright are displayed. To reproduce for all other purposes, contact Frank D. Ferris at info@pallmed.us. Copyright © Frank D Ferris 2013-2024. All rights reserved. V14.1, 2024
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