Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6
Abstract Purpose Though febrile neutropenia (FN) risk prediction models are important in clinical practice, their external validation is limited. In this study, we validated the Cycle-Specific Risk of FEbrile Neutropenia after ChEmotherapy (CSRFENCE) score for predicting FN. Methods We reviewed the...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Springer
2022-10-01
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| Series: | Discover Oncology |
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| Online Access: | https://doi.org/10.1007/s12672-022-00575-1 |
| _version_ | 1811249976505794560 |
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| author | Razan Zatarah Nour Faqeer Aseel Mahmoud Tasnim Quraan Lujain Matalka Aya Kamal Lama Nazer |
| author_facet | Razan Zatarah Nour Faqeer Aseel Mahmoud Tasnim Quraan Lujain Matalka Aya Kamal Lama Nazer |
| author_sort | Razan Zatarah |
| collection | DOAJ |
| description | Abstract Purpose Though febrile neutropenia (FN) risk prediction models are important in clinical practice, their external validation is limited. In this study, we validated the Cycle-Specific Risk of FEbrile Neutropenia after ChEmotherapy (CSRFENCE) score for predicting FN. Methods We reviewed the medical records of patients with solid malignancies and diffuse large B-cell lymphoma during chemotherapy cycles 2–6 and recorded if patients developed FN, defined as absolute neutrophil counts less than 500 cells/microL with fever more than or equal to 38.2 ℃. The CSRFENCE score was determined by adding the risk factors' coefficients described by the original study; subsequently, the score was used to classify chemotherapy cycles into the following risk groups for developing FN: low, intermediate, high, and very high risk. The discriminatory ability of the score was assessed using area under the receiver operating characteristics curve (AUROCC) and incidence rate ratios (IRR) within each CSRFENCE risk group. Results We analyzed 2870 chemotherapy cycles, of which 42 (1.5%) were associated with FN. Among those, 3 (7.1%), 14 (33.3%), 5 (12%), and 20 (47.6%) were classified as low, intermediate, high, and very high risk for developing FN, respectively. The AUROCC was 0.72 (95% CI 0.64–0.81). Compared with the low risk group (n = 666), the IRR of developing FN was 1.01 (95% CI 0.15–43.37), 0.69 (95% CI 0.08–32.46) and 1.17 (95% CI 0.17–49.49) in the intermediate (n = 1431), high (n = 498) and very high (n = 275) risk groups, respectively. Conclusion The CSRFENCE model can moderately stratify patients into four risk groups for predicting FN prior to chemotherapy cycles 2–6. |
| first_indexed | 2024-04-12T15:55:53Z |
| format | Article |
| id | doaj.art-313b7669d5a2486aa063e63278b10cdd |
| institution | Directory Open Access Journal |
| issn | 2730-6011 |
| language | English |
| last_indexed | 2024-04-12T15:55:53Z |
| publishDate | 2022-10-01 |
| publisher | Springer |
| record_format | Article |
| series | Discover Oncology |
| spelling | doaj.art-313b7669d5a2486aa063e63278b10cdd2022-12-22T03:26:21ZengSpringerDiscover Oncology2730-60112022-10-011311710.1007/s12672-022-00575-1Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6Razan Zatarah0Nour Faqeer1Aseel Mahmoud2Tasnim Quraan3Lujain Matalka4Aya Kamal5Lama Nazer6Department of Pharmacy, King Hussein Cancer CenterDepartment of Pharmacy, King Hussein Cancer CenterDepartment of Pharmacy, King Hussein Cancer CenterDepartment of Pharmacy, King Hussein Cancer CenterDepartment of Pharmacy, King Hussein Cancer CenterDepartment of Pharmacy, King Hussein Cancer CenterDepartment of Pharmacy, King Hussein Cancer CenterAbstract Purpose Though febrile neutropenia (FN) risk prediction models are important in clinical practice, their external validation is limited. In this study, we validated the Cycle-Specific Risk of FEbrile Neutropenia after ChEmotherapy (CSRFENCE) score for predicting FN. Methods We reviewed the medical records of patients with solid malignancies and diffuse large B-cell lymphoma during chemotherapy cycles 2–6 and recorded if patients developed FN, defined as absolute neutrophil counts less than 500 cells/microL with fever more than or equal to 38.2 ℃. The CSRFENCE score was determined by adding the risk factors' coefficients described by the original study; subsequently, the score was used to classify chemotherapy cycles into the following risk groups for developing FN: low, intermediate, high, and very high risk. The discriminatory ability of the score was assessed using area under the receiver operating characteristics curve (AUROCC) and incidence rate ratios (IRR) within each CSRFENCE risk group. Results We analyzed 2870 chemotherapy cycles, of which 42 (1.5%) were associated with FN. Among those, 3 (7.1%), 14 (33.3%), 5 (12%), and 20 (47.6%) were classified as low, intermediate, high, and very high risk for developing FN, respectively. The AUROCC was 0.72 (95% CI 0.64–0.81). Compared with the low risk group (n = 666), the IRR of developing FN was 1.01 (95% CI 0.15–43.37), 0.69 (95% CI 0.08–32.46) and 1.17 (95% CI 0.17–49.49) in the intermediate (n = 1431), high (n = 498) and very high (n = 275) risk groups, respectively. Conclusion The CSRFENCE model can moderately stratify patients into four risk groups for predicting FN prior to chemotherapy cycles 2–6.https://doi.org/10.1007/s12672-022-00575-1Chemotherapy-induced febrile neutropeniaChemotherapyFebrile neutropeniaNeoplasmsPrediction |
| spellingShingle | Razan Zatarah Nour Faqeer Aseel Mahmoud Tasnim Quraan Lujain Matalka Aya Kamal Lama Nazer Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6 Discover Oncology Chemotherapy-induced febrile neutropenia Chemotherapy Febrile neutropenia Neoplasms Prediction |
| title | Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6 |
| title_full | Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6 |
| title_fullStr | Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6 |
| title_full_unstemmed | Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6 |
| title_short | Validation of the CSRFENCE score for prediction of febrile neutropenia during chemotherapy cycles 2–6 |
| title_sort | validation of the csrfence score for prediction of febrile neutropenia during chemotherapy cycles 2 6 |
| topic | Chemotherapy-induced febrile neutropenia Chemotherapy Febrile neutropenia Neoplasms Prediction |
| url | https://doi.org/10.1007/s12672-022-00575-1 |
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