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Hematology and Oncology · Palliative Care

Prognostic Index for Cancer Outcomes calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Primary cancer site
Metastasis pattern

Bone only is not a risk factor. Any other pattern counts as one risk factor.

points

Allowed range: 0–100 points

Quick picks

A status of 60 or lower is a risk factor. A status of 61 is not.

Result

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Clinical inputs

  • Primary cancer site
  • Metastasis pattern
  • Karnofsky performance status (points)Accepted range: 0 to 100

Primary source

Chow E et al. Predictive model for survival in patients with advanced cancer. J Clin Oncol. DOI: 10.1200/JCO.2008.17.1363. PMID: 19018082. The recommended model counts three risk factors: nonbreast primary cancer, metastases other than bone only, and Karnofsky performance status of 60 or lower. Group 1 is 0 or 1 factor, group 2 is 2 factors, and group 3 is 3 factors. Table 3 temporal validation median survival was 55, 19, and 9 weeks. Training medians were 60, 26, and 9 weeks, and external medians were 64, 28, and 10 weeks. Table 2 partial scores, shown on the score line, are breast 0, prostate 2, lung 3, and other primary sites 3; bone-only metastases 0 and any other pattern 2; Karnofsky performance status above 60 is 0 and 60 or lower is 3. Partial-score groups are 0–4, 5, and 6–8. The returned number is the risk-factor count the authors recommend. (2008)

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