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Description

Ben Kridis et al reported a Milano Policlinico ONCOVID modified score for evaluating a cancer patient with COVID-19. The authors are from Habib Bourguiba Hospital University of Sfax in Tunisia.


Patient selection: cancer patient with COVID-19

 

Parameters:

(1) sex of the patient

(2) ECOG performance status

(3) age in years

(4) body mass index (BMI)

(5) number of comorbidities

(6) concomitant steroid therapy

(7) thoracic tumor

(8) history of thoracic radiotherapy

(9) adjuvant chemotherapy

(10) type of treatment

(11) history of immune-related adverse events (IRAE)

(12) neutrophil-to-lymphocyte ratio

 

Parameter

Finding

Points

sex

female

0

 

male

1

ECOG

0 or 1

0

 

2 to 4

1

age

< 70 years

0

 

>= 70 years

1

BMI

< 30 kg per sq m

0

 

>= 30 kg per sq m

1

comorbidities

0

0

 

1

1

 

>= 2

2

steroid therapy

no

0

 

yes

1

thoracic tumor

no

0

 

yes

1

thoracic radiotherapy

no

0

 

yes

1

adjuvant chemotherapy

no

0

 

yes

1

type of treatment

chemotherapy

1

 

chemotherapy and immunotherapy

2

 

immunotherapy

2

 

other

0

history of IRAE

no

0

 

pneumonitis

2

 

other immune

1

NLR

< 5

0

 

>= 5

1

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 15

 

Total Score

Risk Category

0 to 3

low

4 to 6

intermediate

7 to 15

high

 


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