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NHS continuing healthcare fast - track pathway tool
What is already known about the topicThe Eastern Cooperative Oncology Group Performance Status Scale is a 40‐year‐old adaption of the Karnofsky Performance Status Scale, produced to assess oncology patients' suitability for treatments and clinical trials.The Eastern Cooperative Oncology Group Performance Status Scale has limited ability to account for multimorbidity, frailty and cognition and reflect changes in patients' condition. Patients may therefore inappropriately receive or not receive systemic therapy.Patient safety initiatives have recommended the use of the Rockwood CFS; however, there is limited evidence for its use in an oncology setting.What this paper addsIncreasing frailty measured using the CFS is associated with poor prognosis in adult oncology and haemato‐oncology inpatients at any age.Implications for practice, theory or policyThis paper supports use of the CFS in the oncology setting in patients of all age groups.Further evaluation is required to establish if measuring frailty can enable early conversations about discharge planning.INTRODUCTIONIn oncology, functional ability is used to assess suitability for treatment. The primary tool for evaluation is the Eastern Co‐operative Oncology Group Performance Status Scale (ECOG PS). However, this scale has been criticised as subjective and prone to bias particularly in the older patient population (Simcock & Wright, 2020) with limited ability to
European Journal of Cancer Care – Wiley
Published: Nov 1, 2022
Keywords: allied health personnel; cancer; frailty; palliative care; patient discharge; prognosis
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