A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer

Introduction. The systemic inflammatory response (SIR) plays a key role in determining nutritional status and survival of patients with cancer. A number of objective scoring systems have been shown to have prognostic value; however, their application in routine clinical practice is not clear. The ai...

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Main Authors: David G. Watt, Campbell S. Roxburgh, Mark White, Juen Zhik Chan, Paul G. Horgan, Donald C. McMillan
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/842070
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author David G. Watt
Campbell S. Roxburgh
Mark White
Juen Zhik Chan
Paul G. Horgan
Donald C. McMillan
author_facet David G. Watt
Campbell S. Roxburgh
Mark White
Juen Zhik Chan
Paul G. Horgan
Donald C. McMillan
author_sort David G. Watt
collection DOAJ
description Introduction. The systemic inflammatory response (SIR) plays a key role in determining nutritional status and survival of patients with cancer. A number of objective scoring systems have been shown to have prognostic value; however, their application in routine clinical practice is not clear. The aim of the present survey was to examine the range of opinions internationally on the routine use of these scoring systems. Methods. An online survey was distributed to a target group consisting of individuals worldwide who have reported an interest in systemic inflammation in patients with cancer. Results. Of those invited by the survey (n=238), 65% routinely measured the SIR, mainly for research and prognostication purposes and clinically for allocation of adjuvant therapy or palliative chemotherapy. 40% reported that they currently used the Glasgow Prognostic Score/modified Glasgow Prognostic Score (GPS/mGPS) and 81% reported that a measure of systemic inflammation should be incorporated into clinical guidelines, such as the definition of cachexia. Conclusions. The majority of respondents routinely measured the SIR in patients with cancer, mainly using the GPS/mGPS for research and prognostication purposes. The majority reported that a measure of the SIR should be adopted into clinical guidelines.
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spelling doaj-art-6f13602b2de945f48a6badea161374e32025-02-03T01:12:17ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/842070842070A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in CancerDavid G. Watt0Campbell S. Roxburgh1Mark White2Juen Zhik Chan3Paul G. Horgan4Donald C. McMillan5Academic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow G31 2ER, UKAcademic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow G31 2ER, UKUniversity of Glasgow, Glasgow Medical School, University Avenue, Glasgow G12 8QQ, UKUniversity of Glasgow, Glasgow Medical School, University Avenue, Glasgow G12 8QQ, UKAcademic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow G31 2ER, UKAcademic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow G31 2ER, UKIntroduction. The systemic inflammatory response (SIR) plays a key role in determining nutritional status and survival of patients with cancer. A number of objective scoring systems have been shown to have prognostic value; however, their application in routine clinical practice is not clear. The aim of the present survey was to examine the range of opinions internationally on the routine use of these scoring systems. Methods. An online survey was distributed to a target group consisting of individuals worldwide who have reported an interest in systemic inflammation in patients with cancer. Results. Of those invited by the survey (n=238), 65% routinely measured the SIR, mainly for research and prognostication purposes and clinically for allocation of adjuvant therapy or palliative chemotherapy. 40% reported that they currently used the Glasgow Prognostic Score/modified Glasgow Prognostic Score (GPS/mGPS) and 81% reported that a measure of systemic inflammation should be incorporated into clinical guidelines, such as the definition of cachexia. Conclusions. The majority of respondents routinely measured the SIR in patients with cancer, mainly using the GPS/mGPS for research and prognostication purposes. The majority reported that a measure of the SIR should be adopted into clinical guidelines.http://dx.doi.org/10.1155/2015/842070
spellingShingle David G. Watt
Campbell S. Roxburgh
Mark White
Juen Zhik Chan
Paul G. Horgan
Donald C. McMillan
A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer
Mediators of Inflammation
title A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer
title_full A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer
title_fullStr A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer
title_full_unstemmed A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer
title_short A Survey of Attitudes towards the Clinical Application of Systemic Inflammation Based Prognostic Scores in Cancer
title_sort survey of attitudes towards the clinical application of systemic inflammation based prognostic scores in cancer
url http://dx.doi.org/10.1155/2015/842070
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