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Haematology Oncology

IPS-E — International Prognostic Score for Early CLL

Predicts time to first treatment (TTT) in Binet Stage A (early) chronic lymphocytic leukaemia (CLL).

Score interpretation

Low Risk — Watch and Wait 0

IPS-E 0: 5-year cumulative risk of needing treatment 8.4 % (Condoluci 2020).

→ Watch and wait. Monitor every 3–6 months. No treatment needed.

Intermediate Risk 1

IPS-E 1: 5-year cumulative risk of needing treatment 28.4 %.

→ Watchful waiting with closer monitoring (every 3–6 months). Discuss clinical trial options.

High Risk — Earlier Treatment Likely 2–3

IPS-E 2–3: 5-year cumulative risk of needing treatment 61.2 %.

→ Closer monitoring (every 3 months). Start treatment only when iwCLL criteria for active disease are met; consider early-intervention clinical trials.

Interpretation bands for the IPS-E. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.