NAACCR Item #3955: Derived Rai Stage

Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
3955 1 NAACCR 2022 22
NAACCR XML: Tumor.derivedRaiStage
Description
This data item stores the Derived Rai stage value derived from the values coded in the following SSDIs for the Lymphoma-CLL/SLL schema (9823/3). * Lymphocytosis [3885] * Adenopathy [3804] * Organomegaly [3907] * Anemia [3811] * Thrombocytopenia [3933] The Rai stage is only applicable for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL) (9823/3) cases where the primary site is bone marrow (C421). For cases with a primary site other than bone marrow (C421), the derived Rai stage will be 8 and all the SSDIs will be coded to 5. Derivation will be run on all cases diagnosed 1/1/2018 and forward.
Rationale
The Derived Rai stage can be used to evaluate disease spread at diagnosis, treatment patterns and outcomes over time.
Notes
Codes
0 Lymphocytosis
1 Lymphocytosis and Adenopathy
2 Lymphocytosis and Organomegaly<br/> (Adenopathy is any value other than 5)
3 Lymphocytosis and Anemia<br/> (Adenopathy and Organomegaly are any value other than 5)
4 Lymphocytosis and Thrombocytopenia<br/> (Adenopathy, Organomegaly and Anemia are any value other than 5)
8 Does not apply, primary site not bone marrow (C421)<br/> (All 5 SSDIs should be set to 5)
9 Unknown<br/> (All 5 SSDIs are 9 or blank; at least one is set to 9 OR<br/> Lymphocytosis is 0,7,9 OR<br/> Lymphocytosis is blank and one of the other SSDIs is a value other than 5 or 9)
Code Notes
This field should be left blank for all cases diagnosed prior to 2018, for schemas other than 00795, and when not required by standard setter.