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Externally validated predictive clinical model for untreated del(17p13.1) chronic lymphocytic leukemia patients. Am J Hematol 2015 Nov;90(11):967-9

Date

07/24/2015

Pubmed ID

26202978

Pubmed Central ID

PMC7055503

DOI

10.1002/ajh.24125

Scopus ID

2-s2.0-84944525401 (requires institutional sign-in at Scopus site)   2 Citations

Abstract

Little is known about outcomes of patients with chronic lymphocytic leukemia (CLL) with del(17p13.1) karyotype at diagnosis. We reviewed 114 de novo del(17p13.1) CLL patients seen at our institution. Using proportional hazards models to identify pretreatment clinical variables significantly associated with treatment-free survival (TFS) and overall survival (OS), we developed a simplified risk score for de novo del(17p13.1) CLL patients to predict TFS and OS based on these variables. These scores, particularly the very highest, can be utilized to identify high-risk patients for expedient enrollment on clinical trials. Our data support careful observation for low-risk patients, potentially preventing unnecessary use of aggressive therapies.

Author List

Stephens DM, Ruppert AS, Weirda WG, Jones JA, Woyach JA, Maddocks K, Jaglowski SM, Andritsos LA, Flynn JM, Grever MR, Lozanski G, Tam C, O'Brien S, Keating MJ, Muthusamy N, Abruzzo LV, Heerema NA, Byrd JC

Author

Samantha M. Jaglowski MD, MPH Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Aged
Aged, 80 and over
Antineoplastic Agents
Base Sequence
Chromosomes, Human, Pair 17
Female
Humans
Karyotype
Leukemia, Lymphocytic, Chronic, B-Cell
Male
Middle Aged
Molecular Sequence Data
Prognosis
Proportional Hazards Models
Retrospective Studies
Risk
Sequence Deletion
Survival Analysis