Site-Specific Factor 5

International Prognostic Score (IPS)


**Note 1:** The International Prognostic Score (IPS) has been developed for Hodgkin lymphoma and predicts outcome based on the following adverse factors * Male sex * Age 45 years or greater * Ann Arbor Stage IV * Serum albumin less than 4 grams/deciliter (g/dl) * Hemoglobin concentration less than 10.5 g/dl * White blood cell count greater than or equal to 15,000/cubic millimeter (mm) * Lymphocytopenia, lymphocyte count less than 600/cubic mm or less than 8% of white cell count **Note 2:** Record the IPS score as documented in the medical record. Do not calculate points. Only record points if a physician has documented them. **Note 3:** There are now three indices/scores associated with lymphoma * The International Prognostic Index (IPI) (**Site-Specific Factor 3**) * The Follicular Lymphoma International Prognostic Index (FLIPI) (**Site-Specific Factor 4**) * The International Prognostic Score (IPS- for Hodgkin lymphomas) (**Site-Specific Factor 5**) Physicians may use these indices/scores interchangeably. For coding * Score identified: Value in appropriate SSF, 999 in other two SSFs * Score not identified, point value 5 or less: 999 in all three SSFs * Score not identified, point value 6 or 7: Value in SSF 5 (IPS), 999 in other two SSFs




NAACCR #2920
Code Description
000 0 points
001 1 point
002 2 points
003 3 points
004 4 points
005 5 points
006 6 points
007 7 points
988 Not applicable: Information not collected for this case
999 Unknown or no information
Not documented in patient record