| Yes (points) | No (points) | |
| Performance status <80% (Karnofsky) | 1 | 0 |
| Less than one year from time of diagnosis to systemic therapy | 1 | 0 |
| Calcium > upper limit of normal | 1 | 0 |
| Hemoglobin < lower limit of normal | 1 | 0 |
| Neutrophils > upper limit of normal | 1 | 0 |
| Platelets > upper limit of normal | 1 | 0 |
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