Comparative analysis of international prognostic indices in gray-zone lymphoma

Hanno M. Witte*, Hartmut Merz, Heinz Wolfram Bernd, Arthur Bauer, Veronica Bernard, Alfred C. Feller, Niklas Gebauer

*Corresponding author for this work

Abstract

Gray-zone lymphoma (GZL) reflects an aggressive B-cell neoplasm with features intermediate between diffuse large B-cell lymphoma (DLBCL) and classical Hodgkin lymphoma (cHL). The International Prognostic Index (IPI) and its derivatives (R-IPI, NCCN-IPI, and the Hasenclever IPS) have been established for DLBCL or cHL while the most suitable scoring system for GZL remains undetermined. In an exploratory multi-centric cohort of GZL (n = 61), we performed a comparative analysis of prognostic indices with regard to model fit and mutual concordance. The calculation of the corrected Akaike’s information criterion (cAIC) and Harrel’s concordance index (c-index) for each scoring system identified the NCCN-IPI to harbor the most convincing prognostic capabilities regarding both overall survival (OS) and progression-free survival (PFS) compared to its enhanced derivatives. The current results affirm the clinical utility of the NCCN-IPI and suggest its preferential use in clinical practice in GZL-patients.

Original languageEnglish
JournalLeukemia and Lymphoma
Volume63
Issue number4
Pages (from-to)894-902
Number of pages9
ISSN1042-8194
DOIs
Publication statusPublished - 2022

Research Areas and Centers

  • Research Area: Luebeck Integrated Oncology Network (LION)
  • Centers: University Cancer Center Schleswig-Holstein (UCCSH)
  • Research Area: Medical Genetics

DFG Research Classification Scheme

  • 2.22-14 Hematology, Oncology

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