Table 2. Progression-free and Disease-Specific Survival in a Validation Cohort of 166 Patients.*.
Variable | Patients with Characteristic | P Value for Progression-free Survival | P Value for Disease-Specific Survival | ||
---|---|---|---|---|---|
no. (%) | Univariate Analysis | Multivariate Analysis | Univariate Analysis | Multivariate Analysis | |
Demographic data | |||||
Male sex | 86 (51.8) | 0.90 | 0.63 | ||
Age >44 yr | 54 (32.5) | 0.32 | 0.05 | ||
Immunohistochemical data† | |||||
≥5% CD68+ cells (IHC score, >1) | 120 (72.3) | 0.03 | 0.003 | 0.003 | |
CD20+ cells | |||||
≤10% Background B cells (IHC score, <3) | 85 (51.2) | 0.02 | 0.02 | ||
Reed–Sternberg cells | 20 (12.0) | 0.95 | 0.59 | ||
Lymphoid follicles | 44 (26.5) | 0.24 | 0.34 | ||
≥1% MMP11+ (IHC score, >1)‡ | 65 (40.6) | 0.008 | 0.009 | 0.09 | |
Laboratory data | |||||
Albumin <40 g/liter | 68 (41.0) | 0.047 | 0.03 | ||
Hemoglobin <10.5 g/dl | 29 (17.5) | 0.004 | 0.11 | ||
White-cell count >15,000/mm3 | 23 (13.9) | 0.52 | 0.23 | ||
Lymphocyte count <600/mm3 or <8% | 25 (15.1) | 0.13 | 0.15 | ||
Clinical data | |||||
IPS >3 (high risk)§ | 28 (16.9) | 0.38 | 0.004 | 0.03 | |
Advanced-stage disease | 125 (75.3) | 0.002 | 0.001 | 0.05 | |
Constitutional symptoms | 76 (45.8) | 0.08 | 0.48 | ||
Bulky tumor (≥10 cm in diameter) | 53 (31.9) | 0.82 | 0.57 |
P values are for the correlation between each factor and survival. Univariate analyses were calculated with the use of a Cox proportional-hazards regression model, and multivariate analyses were performed with a Cox proportional-hazards regression model (forward stepwise likelihood ratio).
Immunohistochemical (IHC) scores range from 1 to 3 for CD68, from 1 to 4 for CD20, and from 0 to 3 for MMP11, with higher scores indicating a greater proportion of positive cells.
Data regarding immunohistochemical staining were missing for six patients.
The International Prognostic Score (IPS) ranges from 0 to 7, with higher scores indicating increased risk.