Validation of a simplified international prognostic score (IPS-3) in patients with advanced-stage classic Hodgkin lymphoma

Br J Haematol. 2020 Apr;189(1):122-127. doi: 10.1111/bjh.16293. Epub 2019 Dec 10.

Abstract

A novel prognostic score (IPS-3), comprised of only three of the seven IPS-7 indicators (age ≥45, stage IV, haemoglobin <105 g/l), was recently proposed as a simplified model for advanced-stage classic Hodgkin lymphoma (cHL). We aimed to validate this model in advanced-stage cHL patients treated with doxorubicin, bleomycin, vinblastine, dacarbazine (ABVD) in British Columbia. The estimated five-year freedom from progression (FFP) for scores of 0, 1, 2 and 3 were very similar to the original report at 84%, 76%, 72% and 68% respectively. The IPS-3 score is highly reproducible in this independent dataset and its simplicity makes it appealing for everyday clinical practice.

Keywords: ABVD; hodgkins lymphoma; international prognostic score; lymphoma; prognostic factors.

Publication types

  • Clinical Trial
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage*
  • Bleomycin / administration & dosage
  • British Columbia / epidemiology
  • Dacarbazine / administration & dosage
  • Disease-Free Survival
  • Doxorubicin / administration & dosage
  • Female
  • Hodgkin Disease / drug therapy*
  • Hodgkin Disease / mortality*
  • Humans
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Survival Rate
  • Vinblastine / administration & dosage

Substances

  • Bleomycin
  • Vinblastine
  • Dacarbazine
  • Doxorubicin

Supplementary concepts

  • ABVD protocol