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International prognostic score for asymptomatic early-stage chronic lymphocytic leukemia
A. Condoluci, L. Terzi di Bergamo, P. Langerbeins, MA. Hoechstetter, CD. Herling, L. De Paoli, J. Delgado, KG. Rabe, M. Gentile, M. Doubek, FR. Mauro, G. Chiodin, M. Mattsson, J. Bahlo, G. Cutrona, J. Kotaskova, C. Deambrogi, KE. Smedby, V....
Jazyk angličtina Země Spojené státy americké
Typ dokumentu časopisecké články, multicentrická studie, pozorovací studie, práce podpořená grantem
NLK
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od 1946 do Před 1 rokem
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od 1946-01-01
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od 1946-01-01 do 2023-06-22
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Elsevier Open Archive Journals
od 1946 do Před 1 rokem
PubMed
32267500
DOI
10.1182/blood.2019003453
Knihovny.cz E-zdroje
- MeSH
- chronická lymfatická leukemie genetika patologie terapie MeSH
- klinické zkoušky jako téma statistika a číselné údaje MeSH
- kombinovaná terapie MeSH
- lidé MeSH
- míra přežití MeSH
- mutace * MeSH
- nádorové biomarkery genetika MeSH
- následné studie MeSH
- nomogramy * MeSH
- prognóza MeSH
- progrese nemoci MeSH
- retrospektivní studie MeSH
- senioři MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- pozorovací studie MeSH
- práce podpořená grantem MeSH
Most patients with chronic lymphocytic leukemia (CLL) are diagnosed with early-stage disease and managed with active surveillance. The individual course of patients with early-stage CLL is heterogeneous, and their probability of needing treatment is hardly anticipated at diagnosis. We aimed at developing an international prognostic score to predict time to first treatment (TTFT) in patients with CLL with early, asymptomatic disease (International Prognostic Score for Early-stage CLL [IPS-E]). Individual patient data from 11 international cohorts of patients with early-stage CLL (n = 4933) were analyzed to build and validate the prognostic score. Three covariates were consistently and independently correlated with TTFT: unmutated immunoglobulin heavy variable gene (IGHV), absolute lymphocyte count higher than 15 × 109/L, and presence of palpable lymph nodes. The IPS-E was the sum of the covariates (1 point each), and separated low-risk (score 0), intermediate-risk (score 1), and high-risk (score 2-3) patients showing a distinct TTFT. The score accuracy was validated in 9 cohorts staged by the Binet system and 1 cohort staged by the Rai system. The C-index was 0.74 in the training series and 0.70 in the aggregate of validation series. By meta-analysis of the training and validation cohorts, the 5-year cumulative risk for treatment start was 8.4%, 28.4%, and 61.2% among low-risk, intermediate-risk, and high-risk patients, respectively. The IPS-E is a simple and robust prognostic model that predicts the likelihood of treatment requirement in patients with early-stage CLL. The IPS-E can be useful in clinical management and in the design of early intervention clinical trials.
Augusta Victoria Hospital Jerusalem Israel
Azienda Ospedaliera of Cosenza Cosenza Italy
Biotechnology Research Unit Aprigliano Cosenza Italy
Cancer Sciences Division University of Southampton Southampton United Kingdom
Central European Institute of Technology Masaryk University Brno Czech Republic
Department of Experimental Medicine University of Genoa Genoa Italy
Department of Internal Medicine 3 University Hospital of Ulm Ulm Germany
Department of Oncology and Hemato Oncology University of Milan Milan Italy
Division of Hematology Sapienza University Rome Italy
Hospital Clinic Barcelona Spain
Hospital Munich Schwabing German CLL Study Group Munich Germany
Institute of Hematology and Oncology University of Barcelona Barcelona Spain
Institute of Oncology Research Università della Svizzera Italiana Bellinzona Switzerland
IRCCS Ospedale Policlinico San Martino Genoa Italy
Karolinska Institute Stockholm Sweden
Oncology Institute of Southern Switzerland Bellinzona Switzerland
Southampton University Hospital Trust Southampton United Kingdom
The 1st Affiliated Hospital of Nanjing Medical University Jiangsu Province Hospital Nanjing China
Citace poskytuje Crossref.org
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