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Body mass index is a prognostic factor in adult patients with acute myeloid leukemia

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Body mass index (BMI), which represents the proportion of weight to height, is a controversial prognostic factor for acute myeloid leukemia (AML). We evaluated prognostic value of BMI in Japanese AML. The study included 369 adult patients with newly diagnosed AML who were administered either daunorubicin or idarubicin with cytarabine as induction chemotherapy. The patients were categorized into two groups according to their BMI: the NW group (BMI < 25.0 kg/m2; normal and underweight) and OW group (BMI ≥ 25.0 kg/m2; overweight and obese). We analyzed treatment efficacy and toxicity of induction chemotherapy, and survival outcomes in each group. Patients in the OW group showed a better complete remission rate than the NW group (86.1 versus 76.5%, P = 0.045), no early death (0.0 versus 4.1%, P = 0.042), and better overall survival (OS) at 3 years (62.2 versus 50.1%, P = 0.012). Multivariate analysis showed BMI is an independent prognostic factor for OS (hazard ratio 0.62, 95% confidence interval 0.42–0.92, P = 0.017). These results indicate the prognostic value of BMI in adult AML patients.

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This study was conducted by the Yokohama Cooperative Study Group for Hematology (YACHT) and any of the seven hospitals collaborate to form the Yokohama City University Hematology Group.

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Correspondence to Etsuko Yamazaki.

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Hiroyuki Fujita has the following financial relationship to disclose: Honoraria (manuscript fee) from Chugai Pharmaceutical CO., LTD.

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Ando, T., Yamazaki, E., Ogusa, E. et al. Body mass index is a prognostic factor in adult patients with acute myeloid leukemia. Int J Hematol 105, 623–630 (2017).

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