Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

    Disease

    Select...

    Specialty

    Select...

    Chief Complaint

    Select...

    Organ System

    Select...

    Patent Pending

    Log In

    Show
    Forgot your password?
    Log In
    Or create a new account (it's free)

    Forgot Password?

    Enter your email address and we'll send you a link to reset your password.

    Get New Password

    Sign In Required

    To save favorites, you must log in.

    Creating an account is free, easy, and takes about 60 seconds.

    Already have an MDCalc account?

    Login to link your favorites and recently used calcs

    Show
    Forgot your password?
    Log In
    Or continue to Nuance

    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    PROMISE Score for Malignant Pleural Effusion

    Predicts 3-month mortality in patients with malignant pleural effusion.
    When to Use
    Pearls/Pitfalls

    Use in patients with late-stage cancer and malignant pleural effusion, either from primary lung cancer or metastasis to lung.

    TIMP1 is not available at all institutions, but if available, can add to the prognostic power of the score.

    No
    Yes
    No
    Yes
    ≥16
    14 to <16
    12 to <14
    10 to <12
    <10
    <4
    4 to <6.3
    6.3 to <10
    10 to <15.8
    ≥15.8
    <3
    3 to <10
    10 to <32
    32 to <100
    ≥100
    0-1
    2-4
    Mesothelioma
    All other types of cancer
    Lung
    Unknown
    <40
    40 to <160
    ≥160

    Result:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    Dr. Ioannis Psallidas

    About the Creator

    Ioannis Psallidas, MD, PhD, is an honorary consultant respiratory physician at Oxford University Hospital NHS Foundation Trust. He is also the medical science director at AstraZeneca. Dr. Psallidas’ primary research is focused on pleural disease and lung cancer.

    To view Dr. Ioannis Psallidas's publications, visit PubMed

    Are you Dr. Ioannis Psallidas? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Ioannis Psallidas
    Are you Dr. Ioannis Psallidas?
    Also from MDCalc...