Research Article

Prognostic Factors and Survival in Primary Central Nervous System Lymphoma: A Population-Based Study

Table 1

Summary of characteristics for the patient population. SEER 1973–2014 ()a.

CharacteristicAll patients number (%) ()Immunocompromised patients number (%) ()Immunocompetent patients number (%) ()

Age
 <602735 (46.3)737 (96.3)1998 (38.9)
 ≥603168 (53.7)28 (3.7)3140 (61.1)
Sex
 Male3353 (56.8)680 (88.9)2673 (52.0)
 Female2550 (43.2)85 (11.1)2465 (48.0)
Race
 Black523 (8.9)216 (28.3)307 (6.0)
 White4816 (81.5)525 (68.6)4291 (83.5)
 Other (American Indian/AK native, Asian/Pacific Islander)564 (9.6)24 (3.1)540 (10.5)
Dates of diagnosis
 1973–1984188 (3.2)5 (0.7)183 (3.6)
 1985–19951030 (17.4)386 (50.5)644 (12.5)
 1996–20062265 (38.4)250 (32.7)2015 (39.2)
 2007–20142420 (41.0)124 (16.1)2296 (44.7)
Lymphoma subtypes
 DLBCL4342 (73.6)527 (68.9)3815 (74.3)
 Non-DLBCL1561 (26.4)238 (31.1)1323 (25.7)
Primary site
 Brain4768 (80.8)684 (89.4)4084 (79.5)
 Meninges/cranial nerves110 (1.9)7 (0.9)107 (2.0)
 Spine364 (6.1)18 (2.4)346 (6.7)
 Other661 (11.2)56 (7.3)605 (11.8)
Laterality
 Not a paired site4197 (71.7)662 (86.5)3535 (68.8)
 Paired site (left/right—origin of primary)1706 (28.9)103 (13.5)1603 (31.2)
Lymphoma Ann Arbor stage
 I–II4324 (73.3)585 (76.5)3739 (72.8)
 III–IV116 (19.6)147 (19.2)1015 (19.8)
 Unknown417 (7.1)33 (4.3)384 (7.5)
Radiation
 No3015 (51.1)289 (37.8)2726 (53.1)
 Yes2785 (47.2)465 (60.8)2320 (45.2)
 Unknown103 (1.7)11 (1.4)92 (1.8)
Chemotherapy
 Yes3325 (56.3)147 (19.2)3178 (61.9)
 No2578 (43.7)618 (80.8)1960 (38.1)
Immunological status
 Immunocompromised765 (13.0)
 Immunocompetent5138 (87.0)
Vital status
 Dead4382 (74.2)765 (100.0)3617 (70.4)
 Alive1521 (25.8)0 (0.0)1521 (29.6)
Insurance status
 Uninsured101 (1.7)12 (1.6)89 (1.7)
 Insured/any Medicaid2271 (38.5)107 (14.0)2164 (42.1)
 Insurance status unknown3531 (59.8)646 (84.4)2885 (56.2)
Marital status
 Never married1409 (23.9)566 (74.0)843 (16.4)
 Married3170 (53.7)107 (14.0)3063 (59.6)
 Ever married (divorced, separated, and widowed)1142 (19.3)63 (8.2)1079 (21.0)
 Unknown182 (3.1)9 (3.8)153 (3.0)
Multiple modalities
 Neither but conservative treatment1104 (18.7)233 (30.5)871 (17.0)
 Chemotherapy involving3270 (55.4)144 (18.8)3126 (60.8)
 Only radiation1426 (24.2)377 (49.3)1049 (20.4)
 Missing103 (1.7)11 (1.4)92 (1.8)

SEER: Surveillance, Epidemiology, and End Results; DLBCL: diffuse large B cell lymphoma; PCNSL: primary central nervous system lymphoma. aData are presented as the number (percentage) of patients.