Appraisal of the Karnofsky Performance Status and proposal of a simple algorithmic system for its evaluation.

Appraisal of the Karnofsky Performance Status and proposal of a simple algorithmic system for its evaluation.
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DOI:
10.1186/1472-6947-13-72
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发表时间:
2013-07-19
影响因子:
3.5
通讯作者:
Hofer S
Hofer S
中科院分区:
医学3区
文献类型:
--
作者:
Péus D;Newcomb N;Hofer S

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60多年来,Karnofsky性能状态(KPS)已被证明是一种有价值的工具,用于测量和比较个体患者的功能状态。近几十年来,患者的情况发生了变化,KPS自最初发展以来也经历了几次调整。关于KPS的最重要的工作往往集中在各种问题上,包括但不限于信度、效度和健康相关的生活质量。还讨论了KPS实际上可以用来测量什么量的问题。KPS越来越多地被用作患者评估的预后因素。因此,关于它是否以及如何影响生存的问题是相关的。在本文中,我们提出了一种算法,该算法使用最少两个和最多三个问题来促进对KPS的充分和有效的评估。这篇综述尊重了发现者的初衷,并概述了近年来的改编。提出的算法建议进行具体的更新,以确保在确定KPS时继续保持充分性和方便性。
For over 60 years, the Karnofsky Performance Status (KPS) has proven itself a valuable tool with which to perform measurement of and comparison between the functional statuses of individual patients. In recent decades conditions for patients have changed, and so too has the KPS undergone several adjustments since its initial development. The most important works regarding the KPS tend to focus upon a variety of issues, including but not limited to reliability, validity and health-related quality of life. Also discussed is the question of what quantity the KPS may in fact be said to measure. The KPS is increasingly used as a prognostic factor in patient assessment. Thus, questions regarding if and how it affects survival are relevant. In this paper, we propose an algorithm which uses a minimum of two and a maximum of three questions to facilitate an adequate and efficient evaluation of the KPS. This review honors the original intention of the discoverer and gives an overview of adaptations made in recent years. The proposed algorithm suggests specific updates with the goal of ensuring continued adequacy and expediency in the determination of the KPS.
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