Palliative Performance Scale
- Population: Patients who have received a palliative care consultation at an academic medical center. If your patient is in hospice, use the hospice version of the PPS by clicking here.
- Outcome: 1-month mortality, 6-month mortality, median survival in months.
- Scroll to the bottom for more detailed information
The PPS is 40%.
Outpatients with Non-Cancer Diagnoses | |||
| PPS | 1-month mortality, % | 6-month mortality, % | Median survival (95% CI) in months |
| 10% - 30% | 14.6% | 32.7% | 21.9 (6.8 to ≥30.0) months |
| 40% | 10.4% | 27.1% | ≥30.0 (17.7 to ≥30.0) months |
| 50% | 3.6% | 21.6% | 28.6 (17.9 to ≥30.0) months |
| 60% | 3.1% | 17.3% | ≥30.0 (23.8 to ≥30.0) months |
| 70% | 0.5% | 10.4% | ≥30.0 (≥30.0 to ≥30.0) months |
| 80% - 100% | 0.0% | 4.6% | ≥30.0 (≥30.0 to ≥30.0) months |
* CI = confidence interval
- The Palliative Performance Scale (PPS) has been shown to be valid and useful for a broad range of palliative care patients: Those with advanced cancer and life-threatening non-cancer diagnoses in inpatient and outpatient palliative care settings.1
- Prognostic estimates shown are from an external validation study done in 4779 patients who received a palliative care consult at the University of California, San Francisco between 1/1/2018 and 12/31/2020.
- Average age was 63 years, 51% women, 57% white.
- Among inpatients, 62.3% had cancer, 5.1% had neurologic illnesses, and 32.6% had other serious illnesses. Among outpatients, 73.9% had cancer, 11.9% had neurologic illnesses, and 14.2% had other serious illnesses.
- This risk calculator has good ability to sort patients who lived from patients who died at 1-month and moderate ability to sort patients who lived from patients who died at 6-months and longer follow-up.
- Discrimination for mortality at 1 month:
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