Risk-scoring system for predicting mucositis in patients of head and neck cancer receiving concurrent chemoradiotherapy [rssm-hn]
A V S Suresh, P Pratap Varma, Sudha Sinha, Satya Deepika, Raghu Raman, M Srinivasan, T Mandapal, C Obula Reddy, B B Anand · J Cancer Res Ther · 2010; 6(4):448–51
One of the most distressing complications of head and neck cancer patients receiving chemoradiotherapy is mucositis. This study developed a risk-scoring system (rssm-hn) by analysing 218 patients receiving concurrent chemoradiotherapy for head and neck cancer. Independent risk factors identified by receiver operating characteristic analysis included age over 40, elevated performance status, low white blood cell counts, elevated inflammatory markers, low albumin, and advanced disease stage. Patients with a score of 6 or more had a 76% probability of developing severe mucositis; those scoring 3 or lower had only a 17% probability.