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Prognostic factors in patients in the terminal phase of haematological malignancies who are receiving home medical care

Summary Although there are many prognostic models for patients in the terminal phase of solid tumours, a reliable prognostic scoring system in patients in the terminal phase of haematological malignancies (HM) has not been established. We retrospectively evaluated 180 patients in the terminal phase...

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Bibliographic Details
Published in:British journal of haematology 2023-04, Vol.201 (2), p.290-301
Main Authors: Miyashita, Naohiro, Ohashi, Kota, Fujita, Mariko, Hosoda, Toru, Kawasaki, Yasufumi, Takimoto, Madoka, Onozawa, Masahiro
Format: Article
Language:English
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Summary:Summary Although there are many prognostic models for patients in the terminal phase of solid tumours, a reliable prognostic scoring system in patients in the terminal phase of haematological malignancies (HM) has not been established. We retrospectively evaluated 180 patients in the terminal phase of HM who were receiving home medical care (HMC). Multivariate analyses revealed that clinician's estimate, consciousness, loss of appetite, dyspnoea, neutrophil count, lymphocyte count, and lactate dehydrogenase were associated with overall survival (OS). Based on this result, we developed a novel prognostic scoring system, the Japan palliative haematological oncology prognostic estimates, in which four risk groups were shown to clearly differ in survival (p 
ISSN:0007-1048
1365-2141
DOI:10.1111/bjh.18623