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Low prognostic nutritional index predicts poor outcome in diffuse large B-cell lymphoma treated with R-CHOP

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Abstract

Prognostic nutritional index (PNI), based on serum albumin concentration and the absolute peripheral lymphocyte count, has been used to predict survival in various tumors. Whether PNI can predict prognosis in patients with diffuse large B-cell lymphoma (DLBCL) remains unknown. We retrospectively analyzed 253 patients with newly diagnosed DLBCL in the present study. The PNI was calculated as: albumin (g/L) + 5 × total lymphocyte count × 109/L. All patients were divided in low and high groups according to the analysis of receiver operating characteristic (ROC) curve. Low PNI was associated with more unfavorable clinical features (p < 0.05). Patients with low PNI tended to have worse event-free survival (EFS) and overall survival (OS) (EFS, p = 0.001; OS, p < 0.001). For patients treated with R-CHOP, PNI proved to be predictive for survival (EFS, p = 0.001; OS, p < 0.001), while no significant effect was found in DLBCL patients who received CHOP chemotherapy (EFS, p = 0.496; OS, p = 0.125). Multivariate analysis showed that low PNI is an independent adverse predictor of OS and EFS, especially in DLBCL patients treated with R-CHOP. In conclusion, this study suggests that PNI is an effective prognostic factor in DLBCL patients treated with R-CHOP.

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Acknowledgments

This work was supported by the Science and Technology of Guangdong Province (Grant No. 2013B021800148), the Natural Science Foundation of Guangdong Province of China (Grant No. 2014A0303013277).

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Correspondence to Ru Feng.

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The authors declare no conflict of interest.

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Q. Zhou, Y. Wei and F. Huang contributed equally to this work.

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12185_2016_2052_MOESM1_ESM.tif

Supplementary Figure S1: The receiver operating characteristic (ROC) curve analysis for the prognostic nutritional index (PNI) (TIFF 18560 kb)

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Zhou, Q., Wei, Y., Huang, F. et al. Low prognostic nutritional index predicts poor outcome in diffuse large B-cell lymphoma treated with R-CHOP. Int J Hematol 104, 485–490 (2016). https://doi.org/10.1007/s12185-016-2052-9

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  • DOI: https://doi.org/10.1007/s12185-016-2052-9

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