Frailty (ECOG ≥3 OR age ≥75 + ≥2 comorbidities) — DA-EPOCH-R infusional toxicity poorly t...
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | RF-PMBCL-FRAILTY-AGE |
|---|---|
| Type | Red flag |
| Status | reviewed 2026-04-25 | pending_clinical_signoff |
| Diseases | DIS-PMBCL |
| Sources | SRC-ESMO-DLBCL-2024 SRC-NCCN-BCELL-2025 |
Red Flag Origin
| Definition | Frailty (ECOG ≥3 OR age ≥75 + ≥2 comorbidities) — DA-EPOCH-R infusional toxicity poorly tolerated; R-CHOP+RT preferred for fragile elderly. |
|---|---|
| Clinical direction | de-escalate |
| Category | frailty-age |
| Shifts algorithm | ALGO-PMBCL-1L |
Trigger Logic
{
"any_of": [
{
"comparator": ">=",
"finding": "ecog_status",
"threshold": 3
},
{
"all_of": [
{
"comparator": ">=",
"finding": "age_years",
"threshold": 75
},
{
"comparator": ">=",
"finding": "comorbidity_count",
"threshold": 2
}
]
}
],
"type": "composite_clinical"
}
Notes
DA-EPOCH-R infusional schedule + G-CSF support poorly tolerated in elderly frail; R-CHOP+ISRT acceptable per NCCN with similar EFS in this subgroup.
Used By
Algorithms
ALGO-PMBCL-1L- ALGO-PMBCL-1LALGO-PMBCL-2L- ALGO-PMBCL-2L
Indications
IND-PMBCL-2L-RICE-AUTOSCT- IND-PMBCL-2L-RICE-AUTOSCT