Real World (RW) Outcomes and Prognostication of Older Patients with Primary Central Nervous System Lymphoma (PCNSL) in the Contemporary Era

Introduction: Treatment of older patients (pts) with PCNSL is challenging due to the prevalence of comorbidities, frailty, and complexities with delivery of chemotherapy (CT). The optimal induction CT and consolidation regimens for older PCNSL pts is unknown. Moreover, there are few large scale prog...

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Veröffentlicht in:Blood 2020-11, Vol.136 (Supplement 1), p.24-26
Hauptverfasser: David, Kevin A., Sundaram, Suchitra, Kim, Seo-Hyun, Vaca, Ryan, Lin, Yong, Singer, Samuel, Malecek, Mary-Kate, Carter, Jordan, Zayac, Adam, Kim, Myung Sun, Reddy, Nishitha, Habib, Alma, Strouse, Christopher, Graber, Jerome, Bachanova, Veronika, Tsang, Mazie, Major, Ajay, Bond, David A., Agrawal, Prashasti, Mier-Hicks, Angel, Torka, Pallawi, Rajakumar, Priya, Venugopal, Parameswaran, Glantz, Michael, Goldlust, Samuel, Matnani, Rahul, Kumar, Pallavi, Ollila, Thomas A, Cai, Johnny, Spurgeon, Stephen E., Sieg, Alex G, Cleveland, Joseph, Epperla, Narendranath, Karmali, Reem, Naik, Seema, Martin, Peter, Smith, Sonali M., Rubenstein, James L., Kahl, Brad S., Evens, Andrew M.
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Sprache:eng
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Zusammenfassung:Introduction: Treatment of older patients (pts) with PCNSL is challenging due to the prevalence of comorbidities, frailty, and complexities with delivery of chemotherapy (CT). The optimal induction CT and consolidation regimens for older PCNSL pts is unknown. Moreover, there are few large scale prognostication studies available, including analysis of geriatric assessments (GA). We analyzed detailed characteristics, treatment patterns and outcomes with prognostication across 17 academic centers. Methods: We conducted a large, RW retrospective study of newly diagnosed PCNSL pts (1/2008-1/2019) ages ≥ 60 years (yrs). Survival rates were estimated by Kaplan-Meier with differences assessed by log rank test. We detailed Cumulative Index Rating Scale-Geriatric (CIRS-G) scores & other GAs. Univariate associations were derived via Cox model with variables p
ISSN:0006-4971
1528-0020
DOI:10.1182/blood-2020-136551