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• W2797871969 abstract "// Carmen Palomar-Muñoz 1, * , Marina Martín-Zamorano 1, * , Amparo Mogollo 1 , Susana Pascual-Pérez 1 , Inmaculada Rodríguez-Morales 1 and José-Antonio Girón-González 1 1 Service of Internal Medicine, Palliative Care and Infectious Diseases, Hospital Universitario Puerta del Mar, Facultad de Medicina, Universidad de Cádiz, Instituto para la Investigación e Innovación en Ciencias Biomédicas de Cádiz (INiBICA), Cádiz, Spain * These authors contributed equally to this work Correspondence to: José-Antonio Girón-González, email: joseantonio.giron@uca.es Keywords: cancer; palliative care; infectious diseases; survival; Palliative Prognostic Index Received: January 16, 2018      Accepted: February 27, 2018      Published: April 10, 2018 ABSTRACT The differential prognostic accuracy of the Palliative Prognostic Index (PPI) in hospitalized oncologic patients treated by a palliative care team according to the presence or absence of acute concomitant diseases was analyzed. All patients ( n = 322) hospitalized in a palliative unit of a university hospital were included in a 2-year prospective study. PPI was determined at the time of hospital admission and discharge. Patients were grouped into two categories according to the causes of hospitalization (presence and absence of acute concomitant diseases). Metastases, PPI punctuation, refractory symptoms, and the presence of acute concomitant diseases were analyzed as survival-related factors. The absence of acute concomitant diseases and a PPI calculated at admission >4 or >6 were related with survival at 3 and 6 weeks, respectively. After hospital discharge, the accuracy of PPI was lower, decreasing the positive predictive value from 84% (PPI calculated at the time of hospital admission) to 67% (PPI calculated at the time of discharge) for survival <6 weeks. In conclusion, the impact of acute concomitant diseases on survival should be considered in prediction models for patients receiving palliative care." @default.
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• W2797871969 date "2018-04-10" @default.
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• W2797871969 title "Assessment of the Palliative Prognostic Index in hospitalized oncologic patients treated by a palliative care team: impact of acute concomitant diseases" @default.
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• W2797871969 doi "https://doi.org/10.18632/oncotarget.24826" @default.
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