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Titulaer 2011 DELTA-P for SCLC association in Lambert-Eaton myasthenic syndrome. One point each, at or within 3 months of LEMS onset: bulbar weakness (dysarthria/dysphagia/chewing/neck weakness); erectile dysfunction if male (always 0 if female); weight loss ≥5%; smoking at onset; age ≥50; Karnofsky <70. Max 6. Bands low 0-1, intermediate 2, high 3-6. Published SCLC percents for scores 0, 1, 3-6; none for score 2. Not a LEMS diagnosis, not SOX1, and not an SCLC screen.