Relevance of different prognostic scores in primary CNS lymphoma in the era of intensified treatment regimens: A retrospective, multicenter analysis of 174 patients
Zeremski V, Adolph L, Beer S, Berisha M, Jacobs B, Kahl C, Koenecke C, Kropf S, Panse J, Petersen J, Schmidt-Hieber M, Schneider J, Vucinic V, Walter J, Weigert O, Witte HM, Mougiakakos D (2024)
Publication Type: Journal article
Publication year: 2024
Journal
DOI: 10.1111/ejh.14159
Abstract
Objectives: Treatment intensification (including consolidative high-dose chemotherapy with autologous stem cell transplantation [HDT-ASCT]) significantly improved outcome in primary central nervous system lymphoma (PCNSL) patients. Methods: We conducted a multicenter, retrospective analysis of newly diagnosed PCNSL patients, treated with intensified treatment regimens. The following scores were evaluated in terms of overall survival (OS) and progression-free survival (PFS): Memorial Sloan-Kettering Cancer Center (MSKCC), International Extranodal Lymphoma Study Group (IELSG), and three-factor (3F) prognostic score. Further, all scores were comparatively investigated for model quality and concordance. Results: Altogether, 174 PCNSL patients were included. One hundred and five patients (60.3%) underwent HDT-ASCT. Two-year OS and 2-year PFS for the entire population were 73.3% and 48.5%, respectively. The MSKCC (p =.003) and 3F score (p <.001), but not the IELSG score (p =.06), had the discriminatory power to identify different risk groups for OS. In regard to concordance, the 3F score (C-index [0.71]) outperformed both the MSKCC (C-index [0.64]) and IELSG (C-index [0.53]) score. Moreover, the superiority of the 3F score was shown for PFS, successfully stratifying patients in three risk groups, which also resulted in the highest C-index (0.66). Conclusion: The comparative analysis of established PCNSL risk scores affirm the clinical utility of the 3F score stratifying the widest prognostic spectrum among PCNSL patients treated with intensified treatment approaches.
Authors with CRIS profile
Involved external institutions
Rheinisch-Westfälische Technische Hochschule (RWTH) Aachen
Germany (DE)
Klinikum der Universität München
Germany (DE)
Bundeswehrkrankenhaus Ulm
Germany (DE)
Universitätsklinikum Magdeburg A.ö.R.
Germany (DE)
Universitätsklinikum Leipzig
Germany (DE)
Medizinische Hochschule Hannover (MHH) / Hannover Medical School
Germany (DE)
Universitätsklinikum Tübingen
Germany (DE)
Klinikum Magdeburg
Germany (DE)
Carl-Thiem-Klinikum
Germany (DE)
Germany (DE)
Klinikum der Universität München
Germany (DE)
Bundeswehrkrankenhaus Ulm
Germany (DE)
Universitätsklinikum Magdeburg A.ö.R.
Germany (DE)
Universitätsklinikum Leipzig
Germany (DE)
Medizinische Hochschule Hannover (MHH) / Hannover Medical School
Germany (DE)
Universitätsklinikum Tübingen
Germany (DE)
Klinikum Magdeburg
Germany (DE)
Carl-Thiem-Klinikum
Germany (DE)
How to cite
APA:
Zeremski, V., Adolph, L., Beer, S., Berisha, M., Jacobs, B., Kahl, C.,... Mougiakakos, D. (2024). Relevance of different prognostic scores in primary CNS lymphoma in the era of intensified treatment regimens: A retrospective, multicenter analysis of 174 patients. European Journal of Haematology. https://doi.org/10.1111/ejh.14159
MLA:
Zeremski, Vanja, et al. "Relevance of different prognostic scores in primary CNS lymphoma in the era of intensified treatment regimens: A retrospective, multicenter analysis of 174 patients." European Journal of Haematology (2024).
BibTeX: Download