IMWG guideline performance | ||||
---|---|---|---|---|
Proposed risk factor | Derivation cohort | Validation cohort | ||
 | HR | P value | HR | P value |
Individual | Â | Â | Â | Â |
 Prior VTE | 2.970 | 0.039 | 0.618 | 0.634 |
 Obesity | 0.897 | 0.882 | 1.165 | 0.833 |
 Central venous catheter or pacemaker | 0.860 | 0.717 | 1.255 | 0.532 |
 Cardiac disease (CHF, MI, CA) | 0.048 | 0.47 | 1.552 | 0.464 |
 Chronic renal disease | 1.717 | 0.224 | 0.693 | 0.541 |
 Diabetes | 2.919 | 0.003 | 2.812 | 0.009 |
 Acute infection | 0.048 | 0.483 | 0.047 | 0.413 |
 Immobilization | 0.726 | 0.659 | 0.614 | 0.502 |
 Trauma or surgery | 0.981 | 0.985 | 0.781 | 0.807 |
 Blood clotting disorders | NE | NE | NE | NE |
 Erythropoietin | 5.310 | 0.001 | 3.725 | 0.006 |
Myeloma-related | Â | Â | Â | Â |
 Diagnosis of myeloma per se | N/A | N/A | N/A | N/A |
 Hyperviscosity | N/A | N/A | N/A | N/A |
Therapy-related | Â | Â | Â | Â |
 High-dose dexamethasone, ≥ 480 mg | NE | NE | NE | NE |
 Doxorubicin | 2.197 | 0.026 | 2.137 | 0.037 |
 Multiagent (cytotoxic) chemotherapy | 0.688 | 0.304 | 0.81 | 0.577 |
Risk stratification | Â | Â | Â | Â |
 High/low | 1.77 | 0.053 | 1.81 | 0.063 |
 C index | 0.58 | 95% CI: 0.54–0.63 | 0.55 | 95% CI: 0.51–0.60 |
SAVED scores | ||||
Proposed risk factor | Derivation cohort | Validation cohort | ||
 | HR | P value | HR | P value |
Surgery (within 90 days) | 0.640 | 0.478 | 0.819 | 0.742 |
Asian race | NE | NE | NE | NE |
VTE history | 4.378 | 0.008 | 1.108 | 0.920 |
Eighty (age ≥ 80y) | 1.072 | 0.924 | 0.962 | 0.957 |
Dexamethasone dose | Â | Â | Â | Â |
 Standard dose (120-160 mg) | 5.404 | 0.002 | 16.737 | 0.006 |
 High dose (>160 mg) | NE | NE | NE | NE |
Risk stratification | Â | Â | Â | Â |
 High/low | 3.225 | 0.248 | 1.647 | 0.622 |
 C index | 0.51 | 95% CI: 0.49–0.52 | 0.50 | 95% CI: 0.49–0.51 |