Description

Jeldres et al developed a nomogram for predicting survival for a patient with an upper urinary tract urothelial carcinoma. This can help to identify a patient who may benefit from more aggressive or novel therapy. The authors are from the University of Montreal, Vita-Salute San Raffaele (Milan), Martini Clinic (Hamburg), and Weill Cornell Medical Center (New York City).


 

Parameters:

(1) age in years

(2) pathologic T stage

(3) pathologic N stage

(4) histologic grade

 

points for age =

= MIN(100, (1.25 * (age in years)) - 25)

 

Parameter

Finding

Points

pathologic T stage

T1

0

 

T2

21.9

 

T3

54.7

 

T4

67.1

pathologic N stage

pN0 (none)

0

 

pN1 or higher (any)

5.3

 

pNx (unknown)

50

histologic grade

G1 (well-differentiated)

0

 

G2

16

 

G3

32

 

G4

48

 

total score =

= SUM(points for all 4 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 264

• The higher the score the worse the prognosis.

 

Points

Probability of 5-Year Cancer Specific Mortality

< 18.6

> 98%

18.6 to 132

(-0.001418 * ((points)^2)) + (0.0579 * (points)) + 97.23

132 to 238

(-0.001302 * ((points)^2)) - (0.2032 * (points)) + 130.6

> 238

< 10%

 


To read more or access our algorithms and calculators, please log in or register.