Kutikov et al developed nomograms for predicting death from renal and non-renal cancers for an adult with a localized renal cell carcinoma. The authors are from Fox Chase Cancer Center and Temple University in Philadelphia.
Patient selection: localized renal cell carcinoma with age >= 30 years
Parameters:
(1) race of the patient
(2) gender of the patient
(3) diameter of the tumor in cm
(4) age of the patient in years
|
Parameter |
Finding |
Points Renal |
Points Nonrenal |
|
race of the patient |
black |
0 |
17 |
|
|
white |
1.7 |
13 |
|
|
other |
2.3 |
0 |
|
gender of the patient |
female |
0 |
0 |
|
|
male |
3.8 |
7.8 |
|
Diameter of the Tumor |
Points for Death from Renal Cancer |
|
0 to 8 cm |
(-0.645 * ((diameter)^2)) + 13.46 * (diameter)) - 1.109 |
|
8 to 20 cm |
(2.607 * (diameter)) + 43.93 |
|
> 20 cm |
96 |
|
Diameter of the Tumor |
Points for Death from Nonrenal Cancer |
|
0 to 20 cm |
(-0.02727 * ((diameter)^2)) - (0.1655 * (diameter)) + 14.05 |
|
> 20 cm |
0 |
|
Age of the Patient |
Points for Death from Renal Cancer |
|
30 to 95 years |
(-0.004731 * ((age)^2)) + (1.209 * (age)) - 32.3 |
|
> 95 years |
40 |
|
Age of the Patient |
Points for Death from Nonenal Cancer |
|
30 to 70 |
(-0.02108 * ((age)^2)) + (4.118 * (age)) - 105.8 |
|
70 to 95 |
(-0.002857 * ((age)^2)) + (0.9171 * (age)) + 27.66 |
|
> 95 |
90 |
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score for death from renal cancer: 142
• maximum score for death from nonrenal cancer: 128
|
Total Points |
Probability of Death from Renal Cancer |
|
0 to 19 |
< 1% |
|
20 to 49 |
1 to 2% |
|
50 to 59 |
2% |
|
60 to 100 |
(0.002857 * ((points)^2)) - (0.2571 * (points)) + 7.114 |
|
100 to 130 |
(0.0125 * ((points)^2)) - (2.245 * (points)) + 109.5 |
|
> 130 |
> 29% |
|
Total Points |
Probability of Death from Nonrenal Cancer |
|
0 to 50 |
0% |
|
50 to 80 |
<= 1% |
|
80 to 130 |
(0.001607 * ((points)^2)) - (0.2004 * (points)) + 6.85 |
Specialty: Hematology Oncology, Surgery, general, Nephrology
ICD-10: ,
