Skip to main content

Table 2 Significant predictors of short survival from start of radiotherapy

From: Early death after palliative radiation treatment: 30-, 35- and 40-day mortality data and statistically robust predictors

Parameter

% 30-day mortality

% 35-day mortality

% 40-day mortality

Significance level*

KPS 30

75

81

81

 < 0.001 (30, 35, 40)

KPS 40

33

33

33

 

KPS 50

57

64

79

 

KPS 60

14

18

22

 

KPS 70

9

11

14

 

KPS 80

0

0

2

 

KPS 90–100

0

0

0

 

Inpatient

26

30

33

 < 0.001 (30, 35, 40)

Outpatient

5

7

9

 

Weight loss of at least 10% (6 mo)

28

31

37

 < 0.001 (30, 35, 40)

Stable weight

1

1

3

 

Prostate cancer

7

8

8

0.03, 0.04, 0.05

Breast cancer

4

8

9

 

Small cell lung cancer

9

9

18

 

Non-small cell lung cancer

20

21

27

 

Colorectal cancer

16

19

19

 

Bladder cancer

30

30

30

 

Renal cell cancer

35

35

41

 

Other cancer

8

14

19

 

No systemic treatment

22

25

28

0.004, 0.005, 0.001

Systemic treatment last 4 weeks

7

9

11

 

Systemic treatment > 4 weeks before RT

23

26

30

 

Chemotherapy

15

18

23

0.02, 0.02, 0.01

Endocrine therapy

4

5

6

 

Immune checkpoint inhibitor

11

11

11

 

Tyrosine kinase inhibitor

21

21

21

 

Lactate dehydrogenase high

20

21

24

0.01, 0.05, 0.02

Lactate dehydrogenase normal

8

11

12

 

Albumin low

39

44

46

 < 0.001 (30, 35, 40)

Albumin normal

8

10

13

 

Hemoglobin low

19

22

26

 < 0.001 (30, 35, 40)

Hemoglobin normal

4

4

5

 

Leukocytes low

23

23

23

0.001, 0.001, 0.002

Leukocytes normal

9

11

14

 

Leukocytes high

26

30

33

 

Creatinine low

28

31

38

 < 0.001 (30, 35, 40)

Creatinine normal

6

8

10

 

Creatinine high

25

28

28

 

CRP > 90 mg/L

38

44

46

 < 0.001 (30, 35, 40)

CRP 5–90 mg/L

13

15

19

 

CRP normal

2

2

4

 

Brain metastases

32

32

36

0.008, 0.03, 0.02

No brain metastases

11

13

16

 

Liver metastases

20

22

25

0.04, 0.05, 0.04

No liver metastases

10

12

15

 

Adrenal gland metastases

30

35

43

0.02, 0.01, 0.002

No adrenal gland metastases

11

13

16

 

Pleural effusion

33

41

44

0.002, < 0.001, < 0.001

No pleural effusion

10

11

14

 

Disease progression outside RT area

23

27

33

 < 0.001 (30, 35, 40)

No progression outside RT area

3 ara>

4

5

 

Opioid analgesics

20

22

25

 < 0.001 (30, 35, 40)

No opioid analgesics

0

1

3

 

Steroid medication

23

27

30

 < 0.001 (30, 35, 40)

No steroid medication

6

7

10

 

Palliative care team involved

24

29

31

 < 0.001 (30, 35, 40)

Palliative care team not involved

7

8

11

 
  1. Bold: at least 10% longitudinal increase between 30 and 40 days
  2. KPS Karnofsky performance status, RT radiotherapy, CRP C-reactive protein
  3. *As predictive factor for each 30-, 35- and 40-day mortality; over all strata, e.g. for KPS or cancer type