Palliative Prognostic Score (PaP)
Palliative Prognostic Score (PaP, 0–17.5) from dyspnea, anorexia, Karnofsky status, the clinician’s survival prediction, WBC, and lymphocyte percentage; maps to risk groups A/B/C.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Dyspnea
- Yes
- Anorexia
- Yes
- Karnofsky Performance Status
- 10–20 (2.5)
- Clinical prediction of survival
- 3–4 weeks (6)
- Total WBC
- Very high > 11000/µL (1.5)
- Lymphocyte percentage
- Very low 0–11.9% (2.5)
Result: PaP 15/17.5 — risk group C: 30-day survival < 30%.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Risk groups
- A (0–5.5) 30-day survival > 70%, B (5.6–11.0) 30–70%, C (11.1–17.5) < 30%.
What you enter
- Karnofsky Performance Status (ge30 ≥ 30 / lo 10–20)
- Clinical prediction of survival (weeks band)
- Total WBC
- Lymphocyte percentage
- Dyspnea (+1)
- Anorexia (+1.5)
How this is calculated
- Components
- dyspnea 1 + anorexia 1.5 + Karnofsky (≥30 0, 10–20 2.5) + clinical prediction of survival (>12 wk 0 … 1–2 wk 8.5) + WBC (0/0.5/1.5) + lymphocyte % (0/1/2.5), total 0–17.5.
Pirovano M, Maltoni M, Nanni O, et al. A new palliative prognostic score: a first step for the staging of terminally ill cancer patients. J Pain Symptom Manage. 1999;17(4):231-239. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.