[논문]The Relationship Between Two Performance Scales: New York Heart Association Classification and Karnofsky Performance Status Scale

Johnson, M.J.; Bland, J.M.; Davidson, P.M.; Newton, P.J.; Oxberry, S.G.; Abernethy, A.P.; Currow, D.C.

doi:10.1016/j.jpainsymman.2013.05.006

The Relationship Between Two Performance Scales: New York Heart Association Classification and Karnofsky Performance Status Scale 원문보기

Journal of pain and symptom management, v.47 no.3, 2014년, pp.652 - 658

Johnson, M.J. , Bland, J.M. , Davidson, P.M. , Newton, P.J. , Oxberry, S.G. , Abernethy, A.P. , Currow, D.C.

Abstract ▼ AI-Helper

Context: Performance status is used to quantify the well-being and functional status of people with illness. Clinicians and researchers from differing fields may not instinctively understand the scales, typically disease specific, used in other disciplines. Objectives: To provide a preliminary description of the relationship between the Karnofsky Performance Status Scale (KPS) and the New York Heart Association Classification (NYHA) and to stimulate discussion in research and clinical practice. Methods: Simultaneous KPS and NYHA data (172 observations) from three studies of people with chronic heart failure were pooled. Linear regression was used to predict the mean KPS from NYHA. The strength of association between the scales was investigated using a Kendall's Tau-b correlation coefficient. The agreement between the predicted and observed KPS scores was investigated using weighted kappa with quadratic weights. Results: Linear regression demonstrated a relationship between KPS and NYHA (P < 0.0001; R2 = 0.3). Predicted KPS from NYHA class rounded to the nearest 10 gave the following values: Class I, predicted KPS 90%; Class II, predicted KPS 80%; Class III, predicted KPS 70%; and Class IV, predicted KPS 60%. A moderate strength of association between KPS and NYHA (Kendall's Tau-b correlation coefficient of -0.49; P < 0.0001) and agreement between observed and predicted KPS (kappa coefficient = 0.52) was shown. Conclusion: We suggest that the NYHA discriminates poorly between clinically important performance states in people with advanced disease (NYHA III and IV; KPS <50%). The KPS, used in conjunction, would provide useful additional information in research and clinical practice.

주제어

참고문헌 (10)

J Thorac Oncol Dajczman 3 1133 2008 10.1097/JTO.0b013e318186a272 Should patient-rated performance status affect treatment decisions in advanced lung cancer?

상세보기
J Clin Oncol Maltoni 23 6240 2005 10.1200/JCO.2005.06.866 Prognostic factors in advanced cancer patients: evidence-based clinical recommendations-a study by the Steering Committee of the European Association for Palliative Care

상세보기
Aust Occup Ther J Jeyasingam 55 266 2008 10.1111/j.1440-1630.2007.00705.x A prospective study of unmet activity of daily living needs in palliative care inpatients

상세보기
Cancer Treat Rep Orr 70 1423 1986 Performance status assessment among oncology patients: a review

상세보기
Karnofsky 191 1949 Evaluation of chemotherapeutic agents in cancer The clinical evaluation of chemotherapeutic agents in cancer
BMC Palliat Care Abernethy 4 7 2005 10.1186/1472-684X-4-7 The Australia-modified Karnofsky Performance Status (AKPS) scale: a revised scale for contemporary palliative care clinical practice [ISRCTN81117481]

상세보기
1994 Nomenclature and criteria for diagnosis of diseases of the heart and great vessels
Circulation Goldman 64 1227 1981 10.1161/01.CIR.64.6.1227 Comparative reproducibility and validity of systems for assessing cardiovascular functional class: advantages of a new specific activity scale

상세보기
Eur J Heart Fail Oxberry 13 1006 2011 10.1093/eurjhf/hfr068 Short-term opioids for breathlessness in stable chronic heart failure: a randomized controlled trial

상세보기
J Pain Symptom Manage Ezekowitz 42 379 2011 10.1016/j.jpainsymman.2010.11.013 The correlation of standard heart failure assessment and palliative care questionnaires in a multidisciplinary heart failure clinic

상세보기

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증

The Relationship Between Two Performance Scales: New York Heart Association Classification and Karnofsky Performance Status Scale 원문보기

Abstract ▼ AI-Helper

주제어

참고문헌 (10)

이 논문을 인용한 문헌

관련 콘텐츠

원문 보기

원문 URL 링크

오픈액세스(OA) 유형

이 논문과 함께 이용한 콘텐츠

AI-Helper ※ AI-Helper는 오픈소스 모델을 사용합니다.

선택된 텍스트