Four Year Prognostic Index

Aka: Four Year Prognostic Index, Lee Index

II. Definition

  1. Calculation to predict four year mortality in older adults

III. Indication

  1. Assess whether a patient will live long enough to benefit from a specific screening measure or medical intervention

IV. Criteria

  1. Age (5 year increments from 60 to over 85 years old)
  2. Diabetes Mellitus
  3. Cancer
  4. Chronic lung disease
  5. Heart Failure
  6. Body Mass Index (<25 kg/m2)
  7. Current Tobacco use
  8. Functional capacity
    1. Difficulty bathing
    2. Difficulty managing finances
    3. Difficulty walking several blocks
    4. Difficulty pushing or pulling heavy objects

V. Resources

  1. EPrognosis
    1. https://eprognosis.ucsf.edu/
  2. Lee Index
    1. http://eprognosis.ucsf.edu/lee.php

VI. References

  1. Lee (2006) JAMA 295: 805 [PubMed]
  2. (2006) Am Fam Physician 74(4): 633-4 [PubMed]

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Related Studies

Ontology: Survival Rate (C0038954)

Definition (NCI_NCI-GLOSS) The percentage of people in a study or treatment group who are alive for a certain period of time after they were diagnosed with or treated for a disease, such as cancer. The survival rate is often stated as a five-year survival rate, which is the percentage of people in a study or treatment group who are alive five years after diagnosis or treatment.
Definition (MSH) The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.
Concepts Quantitative Concept (T081)
MSH D015996
English Rate, Survival, Rates, Survival, Survival Rate, Survival Rates, survival rate, survival rates, overall survival rate
French Taux de survie
Swedish Överlevnadsfrekvens
Czech přežívající - četnost
Finnish Elossaololuku
Russian VYZHIVSHIE PRI KORABLEKRUSHENII, VYZHIVANIIA KOEFFITSIENT, KUMULIATIVNYI KOEFFITSIENT VYZHIVANIIA, ВЫЖИВАНИЯ КОЭФФИЦИЕНТ, ВЫЖИВШИЕ ПРИ КОРАБЛЕКРУШЕНИИ, КУМУЛЯТИВНЫЙ КОЭФФИЦИЕНТ ВЫЖИВАНИЯ
Japanese 累積生存率, 生存率, 残存者取得権
Croatian STOPA PREŽIVLJAVANJA
Polish Okres przeżycia, Odsetek przeżyć, Przeżycie chorych, Średni czas przeżycia, Przeżywalność, Współczynnik przeżycia
Norwegian Overlevelsesrate
Portuguese Taxa de Sobrevivência, Taxa de Sobrevida
German Überlebensrate
Italian Tasso di sopravvivenza
Dutch Overlevingscijfer
Spanish Tasa de Supervivencia
Derived from the NIH UMLS (Unified Medical Language System)

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