Site-Specific Factor 4
Follicular Lymphoma Prognostic Index (FLIPI)
Notes
**Note 1:** The Follicular Lymphoma Prognostic Index (FLIPI) has been developed for follicular lymphomas and predicts outcome based on the following adverse factors * Age greater than or equal to 60 years * Ann Arbor Stage III or IV * More than 4 nodal areas involved * Elevated serum lactate dehydrogenase LDH level * Serum hemoglobin concentration less than 12 grams/deciliter (g/dl) **Note 2:** Record the FLIPI as documented in the medical record. Do not calculate points or assign risk. Only record points or risk if a physician has documented them. Use points over risk if both are available. **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 SSFsDefault
988NAACCR Item
NAACCR #2910| Code | Description |
|---|---|
| 000 | 0 points |
| 001 | 1 point |
| 002 | 2 points |
| 003 | 3 points |
| 004 | 4 points |
| 005 | 5 points |
| 988 | Not applicable: Information not collected for this case |
| 990 | Stated as low risk (0-1 point) |
| 991 | Stated as intermediate risk (2 points) |
| 992 | Stated as high risk (3-5 points) |
| 999 | Unknown or no information Not documented in patient record |