Association between baseline Controlling Nutritional Status score and clinical outcomes of patients with multiple myeloma
| Autor: | Jing Wang, Yan Lu, Jingjue Mao, Jun Xia, Hongfeng Guo, Xin Zhou |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Poor prognosis Multivariate analysis Nutritional Status 03 medical and health sciences 0302 clinical medicine Internal medicine Genetics medicine Humans In patient Stage (cooking) Multiple myeloma 030304 developmental biology Aged Retrospective Studies 0303 health sciences business.industry Complete remission Nutritional status General Medicine Middle Aged medicine.disease Prognosis Treatment Outcome Oncology 030220 oncology & carcinogenesis Cohort Female business Multiple Myeloma |
| Zdroj: | Cancer biomarkers : section A of Disease markers. 32(1) |
| ISSN: | 1875-8592 |
| Popis: | BACKGROUND: The Controlling Nutritional Status (CONUT) score, a novel immuno-nutritional index, was reported as a predictor of overall survival (OS) in some tumors. OBJECTIVE: We aimed to investigate the association between baseline CONUT Score and clinical outcomes in patients with multiple myeloma (MM). METHODS: We performed a retrospective analysis of 245 patients with MM. The CONUT score was determined prior to therapy. RESULTS: Among the entire cohort, the complete remission rate was markedly higher in the low-CONUT (⩽ 3) group compared to the mid-CONUT (4–9) group or high-CONUT (> 9) group (44.1% vs 25.8%, P= 0.039; 44.1% vs 12.5%, P= 0.002). Patients with CONUT score > 9 had significant poor prognosis, and CONUT score ⩽ 3 group showed better survival outcome than other groups in OS (P< 0.001). Besides, we stratified the patients by combining International Staging System (ISS) stage and CONUT score in a model, and found that CONUT score could improve the prognostic impact of ISS stages on OS. In multivariate analysis, older age (⩾ 70 years) and a high CONUT score (⩾ 4) were independent prognostic risk factors for OS. CONCLUSIONS: The CONUT score was a predictor of OS in MM patients especially in cases with both low ISS staging and CONUT score. The baseline CONUT score may be an early and practical indicator of the efficacy of anti-myeloma treatment. |
| Databáze: | OpenAIRE |
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