Evaluation of the MPM2 score versus clinical predictions of mortality in a tertiary cancer center.

2015 
9547 Background: Prognostication is an essential yet challenging clinical skill for oncologists, even as patients approach death. Goals-of-care discussions may be improved by giving patients and families objective reference for likelihood of mortality, but tools are needed to assist clinicians in identifying which patients are at the highest risk of dying in hospital. The aim of this study was to evaluate the transferability of the ICU-derived Mortality Probability Models Version 2 (MPM2) score to the general wards at a comprehensive cancer center, and to compare it to clinical predictions of dying in hospital (CPDH). Methods: Prospective case series of inpatients receiving palliative medicine consultations over a 3 month period. Prior to calculating MPM2 score, the CPDH was estimated in categories: unlikely ( 90%). Overall survival was determined 6 months after end of enrollment. Calibration of MPM2 in these patients was evaluated...
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