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- W2083329617 abstract "Purpose: To implement 3 published prognostic scores in an independent set of patients with cancer of unknown primary (CUP), and compare their performance on individual life expectancy prediction. Patients and Method: The survival of 430 consecutive patients with CUP was measured after they had allocated to their prognostic group (good prognosis vs. poor prognosis) according to each prognostic score. Using a 2 × 2 contingency table, we measured the sensitivity, specificity, positive predictive value (PPV) and accuracy of each score in predicting individual outcome (survival <90 days or >180 days). Results: The median overall survival was 189 days (1–4,801 days). Survival was <90 days in 143/421 cases and >180 days in 208/413 cases. The three PPVs were within the same range for prediction of survival <90 days (from 43 to 49%) as well as for prediction of survival >180 days (from 70 to 80%), and underestimate individual life expectancy of 40–50% of the patients. None of the 3 scores appeared significantly better. Conclusion: The main finding of this retrospective analysis is that the published prognostic scores cannot be used for rational decision making." @default.
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- W2083329617 date "2010-01-01" @default.
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- W2083329617 title "Individual Life Expectancy Estimation Using Validated Prognostic Scores for Patients with Cancer of Unknown Primary" @default.
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- W2083329617 doi "https://doi.org/10.1159/000306137" @default.
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