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palliative prognostic measure
A systmatic measure of prognosis in terminally ill patients. Such measures are needed.
- A physician's prognosis is a central element of both patient & physician decision making, especially at the end of life.
- Foreseeing: a physician's silent cognitive assessment
- Foretelling: what a physician relays to patient & family
- Physician's prognosis are often wrong & usually optimistic
- Such errors may occur at both phases (foreseeing & foretelling)
- Thus, patients are often twice removed from the truth.
- Most types of physicians are prone to error in most types of patients.
- Physicians with more experience have better prognostic accuracy.
- A stronger physician-patient relationship is associated with a lower prognostic accuracy.
Notes:
- performance status is the best predictor of prognosis in patients with advanced cancer
Specific
palliative prognostic index
palliative prognostic score
SUPPORT prognostic model
General
prognosis
References
- Christakis NA & Lamont EB
Extent and determinants of error in doctors' prognoses in
terminally ill patients: prospective cohort study.
BMJ 320:469-73, 2000
PMID: 10678857
- Geriatric Review Syllabus, 11th edition (GRS11)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2022