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Palliative Prognostic Index (PPI)

Palliative Prognostic Index (PPI)
Prognostic domains Partial score value
Palliative performance status*
10 to 20 4.0
30 to 50 2.5
≥60 0
Clinical symptoms
Oral intake
Moderately reduced 1.0
Severely reduced 2.5
Normal 0
Edema 1.0
Dyspnea at rest 3.5
Delirium 4.0
Description of the components of the PPI: a scoring system for survival prediction of terminally ill cancer patients. The scores from each prognostic domain are added. A score of 0 to 2.0 was associated with a median survival of 90 days; score of 2.1 to 4.0, 61 days; score >4.0, 12 days.
* The palliative performance status represents a modified version of the Karnofsky Performance Scale (KPS), which grades patients' general conditions on a scale from 0 (death) to 100 (normal).
Reproduced with permission from: Morita T, Tsundoa J, Inoue S, et al. The Palliative Prognostic Index: a scoring system for survival prediction of terminally ill cancer patients. Supportive Care Cancer 1999; 7:128. Copyright © 1999 Springer-Verlag.
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