The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma

dc.contributor.advisorVerburgh, Estelle
dc.contributor.authorSimba, Kudakwashe
dc.date.accessioned2026-01-30T09:09:02Z
dc.date.available2026-01-30T09:09:02Z
dc.date.issued2025
dc.date.updated2026-01-28T07:28:08Z
dc.description.abstractDespite the burden of anaemia among Hodgkin Lymphoma (HL) patients, data evaluating red cell concentrate transfusion is limited. We retrospectively studied 285 newly diagnosed HL patients who received first-line ABVD treatment at Groote Schuur Hospital, Cape Town. HIV prevalence in the cohort was 39.5% and 74.2% of patients had advanced stage HL. Patient prognosis was scored using the HL International Prognostic Score (IPS-7) and HL IPS-3. Seventy (24.6%) patients were transfused with a median of 2(IQR 1-5) units per patient. Compared to HIV-negative patients, more HIV-positive patients were transfused (14.1% vs 40.4%, P<0.001) and received more units, median 2(IQR 1-3) vs. 3(IQR 2-5), P=0.035. HL IPS-7 (OR 2.1, P<0.001) and HL IPS-3 (OR 2.6, P<0.001) were independently associated with transfusion. HL IPS-7, HL IPS-3 and HIV positivity remained associated with transfusion after adjusting for covariates. For patients with newly diagnosed HL, HL IPS-7, HL IPS-3 and HIV status predicted transfusion.
dc.identifier.apacitationSimba, K. (2025). <i>The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma</i>. (). University of Cape Town ,Faculty of Health Sciences ,Department of Medicine. Retrieved from http://hdl.handle.net/11427/42775en_ZA
dc.identifier.chicagocitationSimba, Kudakwashe. <i>"The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma."</i> ., University of Cape Town ,Faculty of Health Sciences ,Department of Medicine, 2025. http://hdl.handle.net/11427/42775en_ZA
dc.identifier.citationSimba, K. 2025. The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma. . University of Cape Town ,Faculty of Health Sciences ,Department of Medicine. http://hdl.handle.net/11427/42775en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Simba, Kudakwashe AB - Despite the burden of anaemia among Hodgkin Lymphoma (HL) patients, data evaluating red cell concentrate transfusion is limited. We retrospectively studied 285 newly diagnosed HL patients who received first-line ABVD treatment at Groote Schuur Hospital, Cape Town. HIV prevalence in the cohort was 39.5% and 74.2% of patients had advanced stage HL. Patient prognosis was scored using the HL International Prognostic Score (IPS-7) and HL IPS-3. Seventy (24.6%) patients were transfused with a median of 2(IQR 1-5) units per patient. Compared to HIV-negative patients, more HIV-positive patients were transfused (14.1% vs 40.4%, P&lt;0.001) and received more units, median 2(IQR 1-3) vs. 3(IQR 2-5), P=0.035. HL IPS-7 (OR 2.1, P&lt;0.001) and HL IPS-3 (OR 2.6, P&lt;0.001) were independently associated with transfusion. HL IPS-7, HL IPS-3 and HIV positivity remained associated with transfusion after adjusting for covariates. For patients with newly diagnosed HL, HL IPS-7, HL IPS-3 and HIV status predicted transfusion. DA - 2025 DB - OpenUCT DP - University of Cape Town KW - HIV KW - Hodgkin lymphoma LK - https://open.uct.ac.za PB - University of Cape Town PY - 2025 T1 - The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma TI - The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma UR - http://hdl.handle.net/11427/42775 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/42775
dc.identifier.vancouvercitationSimba K. The international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma. []. University of Cape Town ,Faculty of Health Sciences ,Department of Medicine, 2025 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/42775en_ZA
dc.language.isoen
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Medicine
dc.publisher.facultyFaculty of Health Sciences
dc.publisher.institutionUniversity of Cape Town
dc.subjectHIV
dc.subjectHodgkin lymphoma
dc.titleThe international prognostic score and HIV status predict red cell concentrate transfusion needs in Hodgkin lymphoma
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMasters
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