6 vs 26 days; P < .017) and were less likely to develop renal failure (P < .017) and require dialysis (P < .017) than patients with CP scores >= 8; these values were similar between patients with CP scores <8 and their matched controls. selleck inhibitor CONCLUSIONS: After adjusting for non-liver-related risk factors, patients with compensated cirrhosis (defined by CP score < 8) can undergo cardiac surgery with cardiopulmonary bypass with no significant increases
in postoperative mortality and morbidity. For this group of patients, comorbidities, rather than liver failure, appear to account for the occasional death.”
“Aims: To identify independent prognostic factors in patients with cancer of unknown primary site (CUP) who do not belong https://www.selleckchem.com/products/azd5153.html to prognostically favourable subsets, and to develop a prognostic index for predicting survival in these patients.\n\nMaterials and methods: In this prospective study, univariate and multivariate analyses of prognostic factors were conducted in a population of 145 patients with CUP in two clinical institutions. Subsets of patients with favourable prognostic features and those requiring well-defined
treatment were excluded.\n\nResults: The 1-year overall survival rate for all patients was 42% and the median overall survival was 330 days. Overall survival was significantly related to the following pre-treatment prognostic factors: poor Eastern Cooperative Oncology Group performance status (ECOG PS) >= 2, presence of liver metastasis, elevated serum lactate dehydrogenase (LDH), high white blood cell count, anaemia, age >= 63 years, and prolonged QTc interval in electrocardiography (ECG). In multivariate analysis, four independent 123 adverse prognostic parameters were retained: elevated LDH (hazard ratio 2.21; 95% confidence interval 1.41-3.47; P = 0.001), prolonged QTc JNK-IN-8 chemical structure interval
(hazard ratio 2.10; 95% confidence interval 1.28-3.44; P = 0.003), liver metastasis (hazard ratio 1.77; 95% confidence interval 1.11-2.81; P = 0.016) and ECOG PS >= 2 (hazard ratio 1.69; 95% confidence interval 1.05-2.73; P = 0.03). We developed a prognostic index for overall survival based on the following subgroups: good prognosis (no or one adverse factor), intermediate prognosis (two adverse factors) and poor prognosis (three or four adverse factors). The median overall survival for the three subgroups was 420, 152 and 60 days, respectively, P < 0.0001.\n\nConclusions: This study validated previously identified important prognostic factors for survival in patients with CUP. Prolonged QTc was additionally identified as a strong adverse prognostic factor. We developed a simple prognostic index using performance status, LDH, presence of liver metastasis and QTc interval in ECG, which allowed assignment of patients into three subgroups with divergent outcome. Trivanovic, D. et al. (2009). Clinical Oncology 21, 43-48 (C) 2008 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.