Tanaka et al developed a simple score for predicting overall survival in a patient with HIV and diffuse large B-cell lymphoma (DLBCL). This can help to identify a patient who may benefit from more aggressive management. The authors are from Instituto de Infectologia Emiolio Ribas and Sao Paulo University in Brazil.
Patient selection: HIV-positive with DLBCL
Parameters:
(1) past diagnosis of AIDS
(2) International Prognostic Index (IPI)
Parameter
Finding
Points
past diagnosis of AIDS
no
0
yes
1
IPI
low or low-intermediate
0
intermediate-high or high
1
total score =
= SUM(points for both parameters)
Interpretation:
• minimum score: 0
• maximum scoer: 2
• The higher the score the worse the cumulative survival.
Score
Risk Group
5 Year Cumulative Survival
0
low
52%
1
intermediate
30%
2
high
15%
Performance:
• Survival is also affected by the overall quality of care received.
To read more or access our algorithms and calculators, please log in or register.
