SciELO - Scientific Electronic Library Online

vol.28 número1Prediction of deaths from road traffic injuries in Ibague Colombia with probabilistic random walkEvaluation of climatic seasonal influence on the quality of water for human consumption in a San José (Costa Rica) supply system, 2017-2018 índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados




Links relacionados

  • Não possue artigos similaresSimilares em SciELO


Revista Costarricense de Salud Pública

versão impressa ISSN 1409-1429


ALFARO-CAMPOS, Grethel Carolina  e  VARGAS-BERMUDEZ, Alejandro. Application of the survival prognosis index (Pap score) in the oncological patient referred to the National Center for Pain Control and Palliative Care in Costa Rica. Rev. costarric. salud pública [online]. 2019, vol.28, n.1, pp.36-47. ISSN 1409-1429.


To determine the validity of the Palliative Prognosis Index (PapScore) in cancer patients referred to the National Center for Pain Control and Palliative Care of Costa Rica.


Descriptive, observational and prospective study of oncological patients referred for the first time to the National Center of Pain Control and Palliative Care during the months of May and June 2015. The PaP Score was used. The database was made in Excel and the statistical analysis in the SPSS program.


100 patients were studied, 54% male, with an average age of 67.1 years. Gastric cancer was the most prevalent pathology with 12% of cases, 23% of patients present dyspnea, 56% anorexia. The majority of patients (67%) underwent a clinical prognosis of more than 12 weeks, 83% were classified in group A, 17% in group B and no patient in group C. Analyzing the risk classification as a diagnostic test to predict mortality at one month, shows a sensitivity of 61.9%, specificity 94.9%, with positive predictive value 76.5% and negative predictive value 90.4%.


The PaP Score or Palliative Prognosis Index scale is an instrument that adapts to the possibilities of our national environment. It is an excellent tool as a predictor of survival at one month, regardless of the type of tumor, with high efficacy and prognostic validity.

Palavras-chave : Palliative Care; Neoplasms; Survival; Costa Rica.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )