Skip to main content

ePrognosis 2.0: PPS and Cancer screening



by: Alex Smith, @AlexSmithMD

The geriatrics, general medicine, and palliative care communities have spoken, and we've been listening.

ePrognosis is the website we created to help clinicians in everyday practice calculate prognosis or life expectancy.  Two things we've heard over and over about how we could improve ePrognosis:
  1. "We want the PPS!"  "The Palliative Performance Scale (PPS) is likely the most widely used prognostic scale in hospice and palliative care, why isn't it on ePrognosis?"  "ePrognosis doesn't have any really short term prognostic calculators."
  2. "ePrognosis the app in the iTunes store is great, but I'm not an apple person.  Can't you make something like that for android?"
 In response to this feedback, we're excited to announce the addition of the PPS and ePrognosis: Cancer Screening to our website.  Key features of the PPS:
  1. From the main page, you can get to the PPS one of 3 ways.  We did this in order to leverage recent validation studies that have examined the PPS in large but distinct populations:
    1. By selecting that your patient is in hospice
    2. By selecting hospital, then palliative care consult
    3. By selecting clinic, prognosis less than 1 year, and advanced cancer
  2. Outcomes from the PPS will vary depending on your selection above.  So entering the same risk information in the PPS for a patient in hospice will result in a shorter prognosis than entering the same information for a clinic patient with advanced cancer.  This is because the prognosis in the validation studies varied by score depending on the population studied (hospitalized, hospice, outpatient with cancer).  If you think about it, this makes sense.
  

Key features of the cancer screening website:
  1. You can get to the cancer screening website by clicking on the icon in the center of the page, or the link "Cancer screening" in the upper right of the main page.
  2. You can use the website on any mobile or tablet, apple or andoid.
  3. We're very happy with the new design of the cancer screening website.  Websites are increasingly going to this look, with big images and horizontal scrolling. We will soon be converting most of ePrognosis to this look.


We're listening.  Let us know what you think.  

And look for more new updates soon (spoiler alert: video of Eric Widera having a code status discussion)

Comments

何眀晋 said…
This comment has been removed by a blog administrator.

Popular posts from this blog

Lost in Translation: Google’s Translation of Palliative Care to ‘Do-Nothing Care’

by: Cynthia X. Pan, MD, FACP, AGSF (@Cxpan5X)

My colleagues often ask me: “Why are Chinese patients so resistant to hospice and palliative care?” “Why are they so unrealistic?” “Don’t they understand that death is part of life?” “Is it true that with Chinese patients you cannot discuss advance directives?”

As a Chinese speaking geriatrician and palliative care physician practicing in Flushing, NY, I have cared for countless Chinese patients with serious illnesses or at end of life.  Invariably, when Chinese patients or families see me, they ask me if I speak Chinese. When I reply “I do” in Mandarin, the relief and instant trust I see on their faces make my day meaningful and worthwhile.

At my hospital, the patient population is about 30% Asian, with the majority of these being Chinese. Most of these patients require language interpretation.  It becomes an interesting challenge and opportunity, as we often need to discuss advance directives, goals of care, and end of life care options…

Elderhood: Podcast with Louise Aronson

In this week's podcast we talk with Louise Aronson MD, MFA, Professor of Geriatrics at UCSF about her new book Elderhood, available for purchase now for delivery on the release date June 11th.

We are one of the first to interview Louise, as she has interviews scheduled with other lesser media outlets to follow (CBS This Morning and Fresh Air with Terry...somebody).

This book is tremendously rich, covering a history of aging/geriatrics, Louise's own journey as a geriatrician facing burnout, aging and death of family of Louise's members, insightful stories of patients, and more.

We focus therefore on the 3 main things we think our listeners and readers will be interested in.

First - why the word "Elder" and "Elderhood" when JAGS/AGS and others recently decided that the preferred terminology was "older adult"?

Second - Robert Butler coined the term ageism in 1969 - where do we see ageism in contemporary writing/thinking?  We focus on Louise's…

Psychedelics: Podcast with Ira Byock

In this week's podcast, we talk with Dr. Ira Byock, a leading palliative care physician, author, and public advocate for improving care through the end of life.

Ira Byock wrote a provocative and compelling paper in the Journal of Pain and Symptom Management titled, "Taking Psychedelics Seriously."

In this podcast we challenge Ira Byock about the use of psychedelics for patients with serious and life-limiting illness.   Guest host Josh Biddle (UCSF Palliative care fellow) asks, "Should clinicians who prescribe psychedelics try them first to understand what their patient's are going through?" The answer is "yes" -- read or listen on for more!

While you're reading, I'll just go over and lick this toad.

-@AlexSmithMD





You can also find us on Youtube!



Listen to GeriPal Podcasts on:
iTunes Google Play MusicSoundcloudStitcher
Transcript
Eric: Welcome to the GeriPal Podcast. This is Eric Widera.

Alex: This is Alex Smith.

Eric: Alex, I spy someone in our …