PMID- 22185637 OWN - NLM STAT- MEDLINE DCOM- 20121029 LR - 20190116 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 53 IP - 5 DP - 2012 May TI - Stage IV and age over 45 years are the only prognostic factors of the International Prognostic Score for the outcome of advanced Hodgkin lymphoma in the Spanish Hodgkin Lymphoma Study Group series. PG - 812-9 LID - 10.3109/10428194.2011.635861 [doi] AB - The International Prognostic Score (IPS) is the most widely used system to date for identifying risk groups for the outcome of patients with advanced Hodgkin lymphoma, although important limitations have been recognized. We analyzed the value of the IPS in a series of 311 patients with advanced classical Hodgkin lymphoma (cHL) (Ann Arbor stage III, IV or stage II with B symptoms and/or bulky masses) treated with first-line chemotherapy including adriamycin (adriamycin, bleomycin, vinblastine, dacarbazine [ABVD] or equivalent variants). In univariate and multivariate analyses, stage IV disease and age >/= 45 years were the only factors with independent predictive significance for overall survival (OS) (p = 0.002 and p < 0.001, respectively). Stage IV was still significant for freedom from progression (FFP) (p = 0.001) and age >/= 45 years was borderline significant (p = 0.058). IPS separates prognostic groups, as in the original publication, but this is mainly due to the high statistical significance of stage IV and age >/= 45 years. Moreover, the combination of these two factors enables a simpler system to be constructed that separates groups with different FFP and OS. In conclusion, in our series, stage IV and age >/= 45 years are the key prognostic factors for the outcome of advanced cHL. FAU - Guisado-Vasco, Pablo AU - Guisado-Vasco P AD - Hospital Ramon y Cajal , Madrid , Spain. FAU - Arranz-Saez, Reyes AU - Arranz-Saez R FAU - Canales, Miguel AU - Canales M FAU - Canovas, Araceli AU - Canovas A FAU - Garcia-Larana, Jose AU - Garcia-Larana J FAU - Garcia-Sanz, Ramon AU - Garcia-Sanz R FAU - Lopez, Andres AU - Lopez A FAU - Lopez, Jose Luis AU - Lopez JL FAU - Llanos, Marta AU - Llanos M FAU - Moraleda, Jose Maria AU - Moraleda JM FAU - Rodriguez, Jose AU - Rodriguez J FAU - Rayon, Consuelo AU - Rayon C FAU - Sabin, Pilar AU - Sabin P FAU - Salar, Antonio AU - Salar A FAU - Marin-Niebla, Ana AU - Marin-Niebla A FAU - Morente, Manuel AU - Morente M FAU - Sanchez-Godoy, Pedro AU - Sanchez-Godoy P FAU - Tomas, Jose Francisco AU - Tomas JF FAU - Muriel, Alfonso AU - Muriel A FAU - Abraira, Victor AU - Abraira V FAU - Piris, Miguel A AU - Piris MA FAU - Garcia, Juan F AU - Garcia JF FAU - Montalban, Carlos AU - Montalban C CN - Spanish Hodgkin Lymphoma Study Group LA - eng PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20120131 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Hodgkin Disease/*diagnosis/*drug therapy MH - Humans MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - Retrospective Studies MH - Risk Factors MH - Spain MH - Treatment Outcome MH - Young Adult FIR - Ramos, R IR - Ramos R FIR - Rodriguez, J IR - Rodriguez J FIR - Mestre, F IR - Mestre F FIR - Dominguez, P IR - Dominguez P FIR - Jara, C IR - Jara C FIR - Mestre, M J IR - Mestre M FIR - Quiben, R IR - Quiben R FIR - Mendez, M IR - Mendez M FIR - Martinez, M A IR - Martinez M FIR - Grande, C IR - Grande C FIR - Garcia-Cosio, M IR - Garcia-Cosio M FIR - Montalban, C IR - Montalban C FIR - Garcia-Larana, J IR - Garcia-Larana J FIR - Canales, M IR - Canales M FIR - Alves, J IR - Alves J FIR - Bellas, C IR - Bellas C FIR - Provencio, M IR - Provencio M FIR - Castano, A IR - Castano A FIR - Sanchez-Godoy, P IR - Sanchez-Godoy P FIR - Martin, C IR - Martin C FIR - Martinez, R IR - Martinez R FIR - Menarguez, J IR - Menarguez J FIR - Sabin, P IR - Sabin P FIR - Flores, E IR - Flores E FIR - Gonzalez-Carrero, J IR - Gonzalez-Carrero J FIR - Poderos, C IR - Poderos C FIR - Salar, A IR - Salar A FIR - Serrano, S IR - Serrano S FIR - Romagosa, V IR - Romagosa V FIR - Fernandez, A IR - Fernandez A FIR - Mollejo, M IR - Mollejo M FIR - Cruz, M A IR - Cruz M FIR - Canovas, A IR - Canovas A FIR - Camarero, C IR - Camarero C FIR - Llanos, M IR - Llanos M FIR - Arranz, R IR - Arranz R FIR - Acevedo, A IR - Acevedo A FIR - Garcia-Sanz, R IR - Garcia-Sanz R FIR - Flores, T IR - Flores T FIR - Morante, C IR - Morante C FIR - Marin, A IR - Marin A FIR - Rios, E IR - Rios E FIR - Mazorra, F IR - Mazorra F FIR - Conde, E IR - Conde E FIR - Fresno, M F IR - Fresno M FIR - Rayon, C IR - Rayon C FIR - Nicolas, C IR - Nicolas C FIR - Santonja, C IR - Santonja C FIR - Lopez, Jose L IR - Lopez JL FIR - Flores, T IR - Flores T FIR - Garcia-Sanz, R IR - Garcia-Sanz R FIR - Guma, J IR - Guma J FIR - Gonzalvo, P IR - Gonzalvo P FIR - Fernandez, G IR - Fernandez G FIR - Forteza, J IR - Forteza J FIR - Fraga, M IR - Fraga M FIR - Bello, J L IR - Bello J FIR - Bas, A IR - Bas A FIR - Mendez, J R IR - Mendez J FIR - Tomas, J F IR - Tomas JF FIR - Estevez, M IR - Estevez M FIR - Garcia, J F IR - Garcia J FIR - Ruiz-Marcellan, C IR - Ruiz-Marcellan C FIR - Lopez, A IR - Lopez A FIR - Morente, M M IR - Morente M FIR - Piris, M A IR - Piris M EDAT- 2011/12/22 06:00 MHDA- 2012/10/30 06:00 CRDT- 2011/12/22 06:00 PHST- 2011/12/22 06:00 [entrez] PHST- 2011/12/22 06:00 [pubmed] PHST- 2012/10/30 06:00 [medline] AID - 10.3109/10428194.2011.635861 [doi] PST - ppublish SO - Leuk Lymphoma. 2012 May;53(5):812-9. doi: 10.3109/10428194.2011.635861. Epub 2012 Jan 31.