Palliative Prognostic Index
Estimates short-term survival in patients with advanced cancer.
When to use
Patients with advanced cancer in palliative care, to estimate short-term survival.
Pearls and pitfalls
- PPI uses PPS, oral intake, edema, dyspnea at rest and delirium.
- Delirium scores 4 points and dyspnea at rest scores 3.5.
- A value above 6 suggests survival shorter than 3 weeks.
- The score supports planning and does not replace longitudinal clinical assessment.
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Formula
Add PPS (0, 2.5 or 4), oral intake (0, 1 or 2.5), edema (1), dyspnea at rest (3.5) and delirium (4).
Evidence
Index derived and validated to predict short-term survival in terminally ill cancer patients.
References
- Morita T, Tsunoda J, Inoue S, Chihara S. The Palliative Prognostic Index: a scoring system for survival prediction of terminally ill cancer patients. Support Care Cancer. 1999;7(3):128-133. doi:10.1007/s005200050242
Frequently asked questions
What is Palliative Prognostic Index?
Estimates short-term survival in patients with advanced cancer. Patients with advanced cancer in palliative care, to estimate short-term survival.
How is the result calculated?
Add PPS (0, 2.5 or 4), oral intake (0, 1 or 2.5), edema (1), dyspnea at rest (3.5) and delirium (4).
How should the result be interpreted?
Index derived and validated to predict short-term survival in terminally ill cancer patients.
What are the sources?
Morita T, Tsunoda J, Inoue S, Chihara S. The Palliative Prognostic Index: a scoring system for survival prediction of terminally ill cancer patients. Support Care Cancer. 1999;7(3):128-133.