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    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

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    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?