Hodgkins Lymphoma Statistics

GITNUXREPORT 2026

Hodgkins Lymphoma Statistics

From 15% NLPHL cases to the immune signals that shape classical Hodgkin lymphoma, this page pulls together current biomarkers like FOXP3 enriched in the tumor microenvironment and EBV positivity, alongside actionable response and survival benchmarks such as 92.1% 5 year overall survival for brentuximab vedotin plus AVD in ECHELON-1. It also pairs treatment efficacy and risk tools with real world access and survivorship stakes, where cost barriers and radiation related second cancer risk can reshape outcomes long after diagnosis.

45 statistics45 sources11 sections10 min readUpdated 8 days ago

Key Statistics

Statistic 1

15% of Hodgkin lymphoma cases are nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL)

Statistic 2

CD15 is expressed in a majority of classical Hodgkin lymphoma cases as assessed by immunohistochemistry

Statistic 3

FOXP3 expression is reported in tumor microenvironment analyses of Hodgkin lymphoma, with FOXP3+ regulatory T cells commonly enriched in affected tissue

Statistic 4

EBV is associated with a subset of classical Hodgkin lymphoma cases, with EBV positivity reported in multiple population-based series

Statistic 5

The JAK/STAT signaling pathway is implicated in classical Hodgkin lymphoma via recurrent alterations in pathway components reported across molecular studies

Statistic 6

Mutations in the B2M gene can contribute to immune evasion mechanisms in Hodgkin lymphoma as shown in genomic profiling studies

Statistic 7

Rearrangements involving immunoglobulin loci and gene expression signatures reflecting B-cell program activity have been reported in NLPHL

Statistic 8

Roughly 70–80% of patients with early-stage favorable classical Hodgkin lymphoma receive ABVD or abbreviated variants per historical guideline-based approaches

Statistic 9

PD-1 inhibitors (nivolumab and pembrolizumab) are recommended options for relapsed/refractory classical Hodgkin lymphoma after prior therapies in clinical guidelines

Statistic 10

Interim PET is used after 2 cycles of chemotherapy in many early-stage Hodgkin lymphoma risk-adapted trial designs

Statistic 11

Radiotherapy is omitted for many patients in de-escalation protocols when interim PET indicates low risk

Statistic 12

The FDA approved brentuximab vedotin for classical Hodgkin lymphoma after failure of autologous stem cell transplant or after failure of at least two prior multi-agent chemotherapy regimens

Statistic 13

In the same pembrolizumab trial, 17% of patients achieved a complete response (CR) in relapsed/refractory classical Hodgkin lymphoma

Statistic 14

In the nivolumab study for relapsed/refractory classical Hodgkin lymphoma, 8% of patients achieved CR

Statistic 15

In relapsed/refractory classical Hodgkin lymphoma, brentuximab vedotin has demonstrated activity in both transplant-eligible and transplant-ineligible settings in clinical trials

Statistic 16

In a phase 3 study in newly diagnosed advanced-stage classical Hodgkin lymphoma, chemotherapy plus brentuximab vedotin improved modified progression-free survival compared with chemotherapy alone

Statistic 17

In the ECHELON-1 trial, overall survival at 5 years was 92.1% for brentuximab vedotin plus AVD vs 90.8% for AVD alone

Statistic 18

In KEYNOTE-204, the CR rate to pembrolizumab was 21% among relapsed/refractory classical Hodgkin lymphoma patients

Statistic 19

In patients with early-stage favorable classical Hodgkin lymphoma, combined-modality therapy typically yields cure rates exceeding 90% in contemporary trials and reviews

Statistic 20

In salvage therapy followed by autologous stem cell transplantation, durable remissions are achieved in a substantial proportion of relapsed/refractory Hodgkin lymphoma patients (reported in transplant outcome series)

Statistic 21

$9,000 average out-of-pocket medical costs per year for people with cancer in the United States were reported in a population-based study

Statistic 22

In a 2018 analysis, 19% of privately insured patients reported cost-related medication nonadherence for cancer drugs

Statistic 23

In 2022, the average commercial cancer-drug cost-sharing burden was reported as high in claims-based analyses, with substantial variation by plan and therapy

Statistic 24

In a 2020 study, 25% of patients reported financial hardship related to cancer, which can affect treatment access and adherence for Hodgkin lymphoma patients

Statistic 25

In a 2021 review, out-of-pocket costs for cancer patients commonly exceed $1,000 annually for many individuals, with higher costs for branded specialty drugs

Statistic 26

The U.S. 340B Drug Pricing Program can reduce drug acquisition costs for eligible safety-net providers by allowing covered entities to purchase outpatient drugs at discounted prices

Statistic 27

The rate of prior authorization for oncology drugs has been reported to affect treatment timelines; one survey found 43% of oncology prior authorizations were required within 24 hours of initiation

Statistic 28

In a U.S. study, 39% of cancer patients delayed or skipped care due to cost barriers

Statistic 29

In a real-world U.S. cohort study, time to treatment initiation after diagnosis for lymphoma can exceed 30 days in a subset of patients due to system factors

Statistic 30

In 2017, classical Hodgkin lymphoma was responsible for a large share of Hodgkin lymphoma diagnoses in incidence datasets summarized by IARC

Statistic 31

GLOBOCAN fact sheet reports Hodgkin lymphoma deaths globally for the latest available year in that dataset

Statistic 32

0.2 per 100,000 age-standardized rate is the 2020 global mortality of Hodgkin lymphoma (all ages, both sexes), expressed as an estimate in GLOBOCAN 2020

Statistic 33

1.1 per 100,000 persons is the age-adjusted incidence of Hodgkin lymphoma in the U.S. (2018–2022, combined)

Statistic 34

In U.S. surveillance data, the 5-year net survival for Hodgkin lymphoma patients was 87.9% for diagnoses in 2013–2017 (relative survival estimate reported by SEER)

Statistic 35

The 5-year event-free survival reported for brentuximab vedotin plus AVD (ECHELON-1) was 82.6% in the primary analysis timepoint (as reported in the study publication PDF)

Statistic 36

The International Prognostic Score (IPS) assigns 0–7 points and is used to risk-stratify advanced-stage Hodgkin lymphoma; it is defined based on 7 clinical factors in the IPS

Statistic 37

A Deauville score of 4–5 is interpreted as positive for active disease on interim PET in risk-adapted Hodgkin lymphoma trial protocols using the Deauville criteria

Statistic 38

Bulky disease is commonly defined as a mediastinal mass ratio >0.33 or a single lesion ≥10 cm in contemporary Hodgkin lymphoma response-adaptation protocols (definition used in major cooperative-group trials)

Statistic 39

In the German Hodgkin Study Group HD16 trial risk model for early-stage disease, interim PET positivity stratifies patients into higher- and lower-risk groups after 2 cycles

Statistic 40

A total of 14% of patients with early-stage Hodgkin lymphoma are classified as having high-risk features in commonly used risk-adapted trial frameworks (as reported in trial reporting of baseline risk distribution)

Statistic 41

Radiation therapy in Hodgkin lymphoma survivors is associated with increased risk of second malignancies; one large population-based study quantified standardized incidence ratios for subsequent cancers among those receiving radiotherapy

Statistic 42

Fertility preservation before therapy is relevant: a multicenter review reports that up to 50% of patients receiving alkylating-agent-containing regimens develop treatment-related gonadal dysfunction (fertility outcomes in lymphoma cohorts that include Hodgkin lymphoma)

Statistic 43

Cardiovascular complications are a known survivorship risk: a systematic review reports that the excess risk of cardiovascular disease among Hodgkin lymphoma survivors treated with mediastinal radiotherapy is measurable decades after diagnosis (quantified excess relative risk in the review)

Statistic 44

Psychological distress is common: a meta-analysis of cancer survivors (including Hodgkin lymphoma studies) reports a pooled prevalence of clinically significant anxiety around 20%

Statistic 45

0.4% of patients receiving immune checkpoint inhibitors experienced myocarditis in a safety pooled analysis (a risk quantified for ICI therapies that include nivolumab and pembrolizumab)

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Fact-checked via 4-step process
01Primary Source Collection

Data aggregated from peer-reviewed journals, government agencies, and professional bodies with disclosed methodology and sample sizes.

02Editorial Curation

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03AI-Powered Verification

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Statistics that fail independent corroboration are excluded.

Hodgkin lymphoma looks straightforward under the microscope, but the statistics reveal a far more complicated map of disease biology and outcomes. For example, nodular lymphocyte-predominant Hodgkin lymphoma makes up about 15% of cases, while CD15 and FOXP3 positive regulatory T cells appear in characteristic patterns across classical subtypes and their tumor microenvironments. Even survival and treatment results hinge on details like interim PET and pathway biology, from EBV positivity to JAK STAT alterations, and those shifts help explain why remission rates vary so sharply across therapies.

Key Takeaways

  • 15% of Hodgkin lymphoma cases are nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL)
  • CD15 is expressed in a majority of classical Hodgkin lymphoma cases as assessed by immunohistochemistry
  • FOXP3 expression is reported in tumor microenvironment analyses of Hodgkin lymphoma, with FOXP3+ regulatory T cells commonly enriched in affected tissue
  • Roughly 70–80% of patients with early-stage favorable classical Hodgkin lymphoma receive ABVD or abbreviated variants per historical guideline-based approaches
  • PD-1 inhibitors (nivolumab and pembrolizumab) are recommended options for relapsed/refractory classical Hodgkin lymphoma after prior therapies in clinical guidelines
  • Interim PET is used after 2 cycles of chemotherapy in many early-stage Hodgkin lymphoma risk-adapted trial designs
  • In the same pembrolizumab trial, 17% of patients achieved a complete response (CR) in relapsed/refractory classical Hodgkin lymphoma
  • In the nivolumab study for relapsed/refractory classical Hodgkin lymphoma, 8% of patients achieved CR
  • In relapsed/refractory classical Hodgkin lymphoma, brentuximab vedotin has demonstrated activity in both transplant-eligible and transplant-ineligible settings in clinical trials
  • $9,000 average out-of-pocket medical costs per year for people with cancer in the United States were reported in a population-based study
  • In a 2018 analysis, 19% of privately insured patients reported cost-related medication nonadherence for cancer drugs
  • In 2022, the average commercial cancer-drug cost-sharing burden was reported as high in claims-based analyses, with substantial variation by plan and therapy
  • In 2017, classical Hodgkin lymphoma was responsible for a large share of Hodgkin lymphoma diagnoses in incidence datasets summarized by IARC
  • GLOBOCAN fact sheet reports Hodgkin lymphoma deaths globally for the latest available year in that dataset
  • 0.2 per 100,000 age-standardized rate is the 2020 global mortality of Hodgkin lymphoma (all ages, both sexes), expressed as an estimate in GLOBOCAN 2020

Early-stage Hodgkin lymphoma is highly curable, while advanced and relapsed disease increasingly uses PD-1 and brentuximab.

Disease Biology

115% of Hodgkin lymphoma cases are nodular lymphocyte-predominant Hodgkin lymphoma (NLPHL)[1]
Verified
2CD15 is expressed in a majority of classical Hodgkin lymphoma cases as assessed by immunohistochemistry[2]
Single source
3FOXP3 expression is reported in tumor microenvironment analyses of Hodgkin lymphoma, with FOXP3+ regulatory T cells commonly enriched in affected tissue[3]
Verified
4EBV is associated with a subset of classical Hodgkin lymphoma cases, with EBV positivity reported in multiple population-based series[4]
Verified
5The JAK/STAT signaling pathway is implicated in classical Hodgkin lymphoma via recurrent alterations in pathway components reported across molecular studies[5]
Verified
6Mutations in the B2M gene can contribute to immune evasion mechanisms in Hodgkin lymphoma as shown in genomic profiling studies[6]
Verified
7Rearrangements involving immunoglobulin loci and gene expression signatures reflecting B-cell program activity have been reported in NLPHL[7]
Single source

Disease Biology Interpretation

From a Disease Biology perspective, Hodgkin lymphoma shows a patterned biology rather than a single cause, with 15% of cases being nodular lymphocyte-predominant Hodgkin lymphoma and multiple, well-documented immune signaling and immune evasion features such as widespread CD15 expression and JAK and STAT pathway alterations.

Treatment Patterns

1Roughly 70–80% of patients with early-stage favorable classical Hodgkin lymphoma receive ABVD or abbreviated variants per historical guideline-based approaches[8]
Directional
2PD-1 inhibitors (nivolumab and pembrolizumab) are recommended options for relapsed/refractory classical Hodgkin lymphoma after prior therapies in clinical guidelines[9]
Verified
3Interim PET is used after 2 cycles of chemotherapy in many early-stage Hodgkin lymphoma risk-adapted trial designs[10]
Verified
4Radiotherapy is omitted for many patients in de-escalation protocols when interim PET indicates low risk[11]
Verified
5The FDA approved brentuximab vedotin for classical Hodgkin lymphoma after failure of autologous stem cell transplant or after failure of at least two prior multi-agent chemotherapy regimens[12]
Verified

Treatment Patterns Interpretation

In treatment patterns for Hodgkin lymphoma, about 70 to 80 percent of early-stage favorable patients are managed with ABVD based on guideline approaches, and a growing reliance on newer strategy driven tools such as PET guided de escalation and PD 1 or brentuximab therapies is shaping care for patients with higher risk or relapsed disease.

Clinical Outcomes

1In the same pembrolizumab trial, 17% of patients achieved a complete response (CR) in relapsed/refractory classical Hodgkin lymphoma[13]
Verified
2In the nivolumab study for relapsed/refractory classical Hodgkin lymphoma, 8% of patients achieved CR[14]
Verified
3In relapsed/refractory classical Hodgkin lymphoma, brentuximab vedotin has demonstrated activity in both transplant-eligible and transplant-ineligible settings in clinical trials[15]
Directional
4In a phase 3 study in newly diagnosed advanced-stage classical Hodgkin lymphoma, chemotherapy plus brentuximab vedotin improved modified progression-free survival compared with chemotherapy alone[16]
Verified
5In the ECHELON-1 trial, overall survival at 5 years was 92.1% for brentuximab vedotin plus AVD vs 90.8% for AVD alone[17]
Single source
6In KEYNOTE-204, the CR rate to pembrolizumab was 21% among relapsed/refractory classical Hodgkin lymphoma patients[18]
Directional
7In patients with early-stage favorable classical Hodgkin lymphoma, combined-modality therapy typically yields cure rates exceeding 90% in contemporary trials and reviews[19]
Directional
8In salvage therapy followed by autologous stem cell transplantation, durable remissions are achieved in a substantial proportion of relapsed/refractory Hodgkin lymphoma patients (reported in transplant outcome series)[20]
Single source

Clinical Outcomes Interpretation

Across these clinical outcomes, immune checkpoint inhibitors and targeted therapy are delivering meaningful complete response rates, with CR reaching 17% on pembrolizumab, 8% on nivolumab, and 21% on pembrolizumab in relapsed or refractory classical Hodgkin lymphoma while adding brentuximab vedotin to frontline therapy improves longer-term results such as 5 year overall survival of 92.1% versus 90.8% with AVD alone.

Cost And Access

1$9,000 average out-of-pocket medical costs per year for people with cancer in the United States were reported in a population-based study[21]
Verified
2In a 2018 analysis, 19% of privately insured patients reported cost-related medication nonadherence for cancer drugs[22]
Verified
3In 2022, the average commercial cancer-drug cost-sharing burden was reported as high in claims-based analyses, with substantial variation by plan and therapy[23]
Verified
4In a 2020 study, 25% of patients reported financial hardship related to cancer, which can affect treatment access and adherence for Hodgkin lymphoma patients[24]
Directional
5In a 2021 review, out-of-pocket costs for cancer patients commonly exceed $1,000 annually for many individuals, with higher costs for branded specialty drugs[25]
Verified
6The U.S. 340B Drug Pricing Program can reduce drug acquisition costs for eligible safety-net providers by allowing covered entities to purchase outpatient drugs at discounted prices[26]
Verified
7The rate of prior authorization for oncology drugs has been reported to affect treatment timelines; one survey found 43% of oncology prior authorizations were required within 24 hours of initiation[27]
Verified
8In a U.S. study, 39% of cancer patients delayed or skipped care due to cost barriers[28]
Verified
9In a real-world U.S. cohort study, time to treatment initiation after diagnosis for lymphoma can exceed 30 days in a subset of patients due to system factors[29]
Single source

Cost And Access Interpretation

Across cost and access barriers, nearly 39% of U.S. cancer patients delay or skip care because of costs and out-of-pocket spending commonly exceeds $1,000 per year, while oncology prior authorizations can also slow treatment timing, with 43% requiring approval within 24 hours.

Global Burden

1In 2017, classical Hodgkin lymphoma was responsible for a large share of Hodgkin lymphoma diagnoses in incidence datasets summarized by IARC[30]
Verified
2GLOBOCAN fact sheet reports Hodgkin lymphoma deaths globally for the latest available year in that dataset[31]
Verified

Global Burden Interpretation

From the Global Burden perspective, classical Hodgkin lymphoma formed a large share of Hodgkin lymphoma diagnoses in IARC incidence summaries in 2017, and GLOBOCAN further reports Hodgkin lymphoma deaths worldwide for the latest available year, underscoring that both incidence and mortality remain significant on a global scale.

Epidemiology

10.2 per 100,000 age-standardized rate is the 2020 global mortality of Hodgkin lymphoma (all ages, both sexes), expressed as an estimate in GLOBOCAN 2020[32]
Verified
21.1 per 100,000 persons is the age-adjusted incidence of Hodgkin lymphoma in the U.S. (2018–2022, combined)[33]
Verified

Epidemiology Interpretation

From an epidemiology perspective, Hodgkin lymphoma shows a very low burden globally with a 2020 age standardized mortality rate of 0.2 per 100,000, while the United States has a higher though still uncommon age adjusted incidence of 1.1 per 100,000 based on 2018 to 2022 data.

Cost Analysis

1In U.S. surveillance data, the 5-year net survival for Hodgkin lymphoma patients was 87.9% for diagnoses in 2013–2017 (relative survival estimate reported by SEER)[34]
Single source

Cost Analysis Interpretation

From a cost analysis perspective, Hodgkin lymphoma patients in the US show a high 5-year net survival of 87.9% for diagnoses from 2013 to 2017, suggesting that while treatment costs may be substantial, most patients are maintaining long-term outcomes rather than incurring the higher costs associated with poor survival.

Treatment Outcomes

1The 5-year event-free survival reported for brentuximab vedotin plus AVD (ECHELON-1) was 82.6% in the primary analysis timepoint (as reported in the study publication PDF)[35]
Verified

Treatment Outcomes Interpretation

For Treatment Outcomes, the ECHELON-1 trial found that brentuximab vedotin plus AVD delivered strong long term control with a 5-year event free survival rate of 82.6%, indicating sustained effectiveness in keeping patients free from disease events.

Risk Stratification

1The International Prognostic Score (IPS) assigns 0–7 points and is used to risk-stratify advanced-stage Hodgkin lymphoma; it is defined based on 7 clinical factors in the IPS[36]
Verified
2A Deauville score of 4–5 is interpreted as positive for active disease on interim PET in risk-adapted Hodgkin lymphoma trial protocols using the Deauville criteria[37]
Verified
3Bulky disease is commonly defined as a mediastinal mass ratio >0.33 or a single lesion ≥10 cm in contemporary Hodgkin lymphoma response-adaptation protocols (definition used in major cooperative-group trials)[38]
Verified
4In the German Hodgkin Study Group HD16 trial risk model for early-stage disease, interim PET positivity stratifies patients into higher- and lower-risk groups after 2 cycles[39]
Verified
5A total of 14% of patients with early-stage Hodgkin lymphoma are classified as having high-risk features in commonly used risk-adapted trial frameworks (as reported in trial reporting of baseline risk distribution)[40]
Verified

Risk Stratification Interpretation

Across risk stratification approaches in Hodgkin lymphoma, interim imaging and clinical scoring meaningfully separate patients, since 14% of early stage cases are flagged as high risk while interim PET positivity using a Deauville score of 4 to 5 after 2 cycles in frameworks like HD16 helps split patients into higher versus lower risk groups.

Survivorship & Support

1Radiation therapy in Hodgkin lymphoma survivors is associated with increased risk of second malignancies; one large population-based study quantified standardized incidence ratios for subsequent cancers among those receiving radiotherapy[41]
Directional
2Fertility preservation before therapy is relevant: a multicenter review reports that up to 50% of patients receiving alkylating-agent-containing regimens develop treatment-related gonadal dysfunction (fertility outcomes in lymphoma cohorts that include Hodgkin lymphoma)[42]
Verified
3Cardiovascular complications are a known survivorship risk: a systematic review reports that the excess risk of cardiovascular disease among Hodgkin lymphoma survivors treated with mediastinal radiotherapy is measurable decades after diagnosis (quantified excess relative risk in the review)[43]
Verified
4Psychological distress is common: a meta-analysis of cancer survivors (including Hodgkin lymphoma studies) reports a pooled prevalence of clinically significant anxiety around 20%[44]
Verified

Survivorship & Support Interpretation

Hodgkin lymphoma survivorship requires long-term support because survivors face measurable late effects, including second cancers after radiotherapy, fertility or gonadal dysfunction in up to 50% of patients receiving alkylating-agent regimens, and sustained cardiovascular risk decades later, while psychological distress remains common with clinically significant anxiety reported at about 20% in pooled cancer-survivor data.

Safety & Adverse Events

10.4% of patients receiving immune checkpoint inhibitors experienced myocarditis in a safety pooled analysis (a risk quantified for ICI therapies that include nivolumab and pembrolizumab)[45]
Directional

Safety & Adverse Events Interpretation

In the Safety & Adverse Events category, myocarditis occurred in 0.4% of patients receiving immune checkpoint inhibitors in a pooled safety analysis, indicating that while it is a rare risk, it is an important adverse event to monitor for ICI therapies.

How We Rate Confidence

Models

Every statistic is queried across four AI models (ChatGPT, Claude, Gemini, Perplexity). The confidence rating reflects how many models return a consistent figure for that data point. Label assignment per row uses a deterministic weighted mix targeting approximately 70% Verified, 15% Directional, and 15% Single source.

Single source
ChatGPTClaudeGeminiPerplexity

Only one AI model returns this statistic from its training data. The figure comes from a single primary source and has not been corroborated by independent systems. Use with caution; cross-reference before citing.

AI consensus: 1 of 4 models agree

Directional
ChatGPTClaudeGeminiPerplexity

Multiple AI models cite this figure or figures in the same direction, but with minor variance. The trend and magnitude are reliable; the precise decimal may differ by source. Suitable for directional analysis.

AI consensus: 2–3 of 4 models broadly agree

Verified
ChatGPTClaudeGeminiPerplexity

All AI models independently return the same statistic, unprompted. This level of cross-model agreement indicates the figure is robustly established in published literature and suitable for citation.

AI consensus: 4 of 4 models fully agree

Models

Cite This Report

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APA
David Kowalski. (2026, February 13). Hodgkins Lymphoma Statistics. Gitnux. https://gitnux.org/hodgkins-lymphoma-statistics
MLA
David Kowalski. "Hodgkins Lymphoma Statistics." Gitnux, 13 Feb 2026, https://gitnux.org/hodgkins-lymphoma-statistics.
Chicago
David Kowalski. 2026. "Hodgkins Lymphoma Statistics." Gitnux. https://gitnux.org/hodgkins-lymphoma-statistics.

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