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Clinical calculator summary

Palliative Survival Prediction Panel

A combined display of PaP and PPI estimates for advanced-cancer prognostic assessment.

Evidence-based context for fast calculator use

Purpose:
Compare complementary palliative prognostic signals and make uncertainty visible
Population:
Patients with advanced cancer receiving palliative-care assessment
Factors:
PaP clinical and laboratory inputs, PPI bedside inputs, Trajectory, Reversible causes
Reference:
Pirovano et al., J Pain Symptom Manage. 1999; Morita et al., Support Care Cancer. 1999
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Palliative Survival Prediction

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Clinical Context & Background

This panel combines two of the most validated tools for estimating survival in palliative care patients:
1. PaP (Palliative Prognostic Score): Combines clinical prediction (CPS) with WBC/Lymphocyte counts. Strong predictor of 30-day survival.
2. PPI (Palliative Prognostic Index): Uses symptoms (Edema, Delirium, Intake) and performance status. Good for distinguishing "weeks" from "months".
Primary Source EvidencePirovano M, Maltoni M, Nanni O, et al. A new palliative prognostic score: a first step for the staging of terminally ill cancer patients. J Pain Symptom Manage. 1999;17(4):231-239.
Formula Logic
Parallel PaP and PPI calculation with separate sub-results; agreement and discordance are displayed rather than averaged.

Reference Data

ScoreSurvival Window
PaP Group ALikely > 30 Days (> 70% probability)
PaP Group BUncertain / Intermediate (30-70%)
PaP Group CLikely < 30 Days (< 30% probability)
PPI > 6Likely < 3 Weeks
PPI 4 - 6Intermediate (3 - 6 Weeks)
PPI ≤ 4Likely > 6 Weeks

Clinical Workflow

Use, Interpret, And Continue The Patient Pathway

Expand for workflow guidance, limitations, examples, and related next steps.

When To Use

  • Use when both PaP and PPI inputs are available and a structured comparison may support communication and care planning.
  • Use only when the patient and clinical setting match the population described for Palliative Survival Prediction Panel.

How To Interpret

  • Agreement can strengthen a probabilistic impression; disagreement should prompt review of trajectory, reversible factors, and input timing.
  • Interpret thresholds with the entered units, current clinical status, and local guideline context.

What To Do Next

  • Communicate ranges and uncertainty, align care with patient goals, and reassess after material clinical change.
  • Document the inputs, result, clinical judgment, and any reason for deviating from the model-guided pathway.

Limitations

  • Do not convert two prognostic tools into certainty or a fixed individual survival date.
  • This calculator supports clinical assessment and does not independently prescribe treatment.

Validated Population

Patients with advanced cancer receiving palliative-care assessment

Clinical example

If PaP and PPI disagree, review clinician survival prediction, delirium reversibility, recent decline, and laboratory timing before counseling.

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Frequently Asked Questions

What is Palliative Survival Prediction Panel used for?

Compare complementary palliative prognostic signals and make uncertainty visible. It is intended for patients with advanced cancer receiving palliative-care assessment.

Does Palliative Survival Prediction Panel determine treatment by itself?

No. Confirm the population, inputs, contraindications, competing risks, and current guideline recommendations before acting on the result.

Evidence-based oncology decision support. Verify with clinical guidelines.