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Peer-Reviewed Publication
Appl Clin Inform2024;15(3):489-500.May 1, 2024Journal Article

Comparing Clinician Estimates versus a Statistical Tool for Predicting Risk of Death within 45 Days of Admission for Cancer Patients.

Adrianna Z Herskovits1, Tiffanny Newman2, Kevin Nicholas2, Cesar F Colorado-Jimenez1, Claire E Perry2, Alisa Valentino1, Isaac Wagner2, Barbara Egan3, Dmitriy Gorenshteyn4, Andrew J Vickers5, Melissa S Pessin6
1Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, United States.
2Department of Strategy and Innovation, Memorial Sloan Kettering Cancer Center, New York, New York, United States.
3Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, United States.
4Thirty Madison, New York, New York, United States.
5Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, United States.
6Department of Pathology, University of Chicago, Chicago, Illinois, United States.

Abstract

OBJECTIVES: While clinical practice guidelines recommend that oncologists discuss goals of care with patients who have advanced cancer, it is estimated that less than 20% of individuals admitted to the hospital with high-risk cancers have end-of-life discussions with their providers. While there has been interest in developing models for mortality prediction to trigger such discussions, few studie…

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