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Tumor Discovery                                                      Prognostication in palliative cancer care



            Table 2. Care trajectory, performance status, biomarkers,
            symptom intensities, and days of survival
                             n   Median  Range    p‑value*
            Care trajectory
             Ongoing anti-cancer   57  82  3 – 629  <0.01
             treatment
             Palliative care alone  89  40  6 – 708
             Missing         1
            ECOG PS 2
             1               15    122   19 – 368  ref. category
             2               55    79    10 – 708  0.23        Figure 1. Survival variability in the study population. Zero on the y-axis
             3               69    42    3 – 320   <0.01       represents median survival for the entire study population. The vertical
                                                               bars represent negative and positive deviations from the median survival
             4               8     19     6 – 33   <0.01       (in days) for each patient.
            mGPS 3
             0               24    68    13 – 708  ref. category
             1               75    68    6 – 629   0.44
             2               48    30    3 – 273   <0.01
            Tiredness
             Mild symptom    28    81    3 – 629   0.08
             intensity
             Higher symptom   119  44    6 – 708
             intensity
            Loss of appetite
             Mild symptom    56    60    6 – 708   0.09
             intensity
             Higher symptom   91   45    3 – 368
             intensity                                         Figure  2.  Selected patient characteristics and median survival for the
            Reduced well-being                                 respective groups
                                                               Notes: Eastern cooperative oncology group performance status (ECOG
                                                                    a
             Mild symptom    55    52    6 – 361   0.74        PS);  Modified glasgow prognostic score (mGPS);  Mild and higher
                                                                                                  c
                                                                  b
             intensity                                         symptom intensities; The dotted horizontal line represents the median
                                                                             d
                                                                                         e
             Higher symptom   92   52    3 – 708               survival for the entire study population;  Median survival was similar for
             intensity                                         patients with mGPS 0 and 1, as well as for those with mild and higher
                                                               symptom intensities related to reduced well-being.
            Drowsiness
             Mild symptom    40    75     3 –629   0.16        survival was similar for patients with mGPS 0 and 1, but
             intensity
                                                               significantly different in patients with mGPS 2. The range
             Higher symptom   107  45    6 – 708
             intensity                                         for survival varied and was largest for patients with mGPS
            Dyspnea                                            0. All categories included patients who survived more than
                                                               half a year, whereas those with mGPS 0 and 1 included
             Mild symptom    84    64    6 – 708   0.13        patients who survived over one and a half years. All
             intensity
                                                               categories also included patients who survived <1 month.
             Higher symptom   63   42    3 – 439
             intensity                                         3.4. Symptom intensity and survival
            Note: *Variables with two categories were compared with the
            Mann–Whitney U test, and variables with more than two categories   Details on dichotomized symptom intensities for
            with the Kruskal–Wallis test and the Dunn procedure.  tiredness, loss of appetite, reduced well-being, drowsiness,
            Abbreviations: ECOG PS: Eastern cooperative oncology group   and dyspnea related to survival are depicted in  Table 2
            performance status; mGPS: Modified glasgow prognostic score.
                                                               and illustrated in  Figure  2. No statistically significant
                                                               differences  in survival were  observed  between  patients
            after admission for patients with the respective scores is   with mild and higher intensities of these symptoms.
            delineated in Table 2 and illustrated in Figure 2. Median   Except for well-being, there was a non-significant trend


            Volume 4 Issue 3 (2025)                         50                                doi: 10.36922/td.8576
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