Comparing Physician and Nurse Eastern Cooperative Oncology Group Performance Status (ECOG-PS) Ratings as Predictors of Clinical Outcomes in Patients with Cancer.
Elad NeemanGillian GreshamNavasard OvasapiansAndrew HendifarRichard TuliRobert FiglinArvind ShindePublished in: The oncologist (2019)
Nurse-rated Eastern Cooperative Oncology Group Performance Status (ECOG-PS) scores, compared with those rated by oncologists, better predicted hospitalizations and severe chemotherapy toxicity within 1 month from ECOG-PS assessment, as well as mortality or hospice referrals within 6 months. Physician-nurse disagreement in ECOG-PS scoring was associated with worse hospitalization, chemotherapy toxicity, and mortality and hospice referral rates. Rating performance statuses of patients with cancer by nurses instead or in addition to oncologists can result in additional clinical benefits, such as improved prognostication, as well as better informed clinical decision making regarding whether or not to administer chemotherapy, the need for additional supportive care, and goals of care discussions.
Keyphrases
- palliative care
- primary care
- advanced cancer
- healthcare
- locally advanced
- emergency department
- decision making
- cardiovascular events
- south africa
- oxidative stress
- risk factors
- type diabetes
- quality improvement
- coronary artery disease
- pain management
- rectal cancer
- chemotherapy induced
- chronic pain
- health insurance
- global health
- affordable care act