Journal
ANNALS OF HEMATOLOGY
Volume 99, Issue 12, Pages 2859-2868Publisher
SPRINGER
DOI: 10.1007/s00277-020-04262-5
Keywords
Diffuse large B cell lymphoma; Nutrition; Geriatric nutritional risk index; Prognostic nutritional index; Controlling nutritional status score
Categories
Ask authors/readers for more resources
Diffuse large B cell lymphoma (DLBCL) is the most common type of aggressive non-Hodgkin lymphoma. Emerging evidence indicates that poor nutritional status determined with nutritional indices such as geriatric nutritional risk index (GNRI), prognostic nutritional index (PNI), and controlling nutritional status score (CONUT) was associated with poor prognosis of DLBCL. We conducted this multicenter retrospective study to validate and compare prognostic values of the three indices in 615 newly diagnosed DLBCL patients. The overall survival (OS) in patients with poor nutritional status determined with each of these nutritional indices were significantly inferior compared with that in those without nutritional risks (5-year OS in patients with GNRI < 95.7 and GNRI >= 95.7 were 56.4% and 83.5%,P< 0.001; PNI < 42.4 and PNI >= 42.4 were 56.1% and 81.0%,P< 0.001; CONUT > 4 and CONUT <= 4 were 53.1% and 77.1%,P< 0.001). GNRI and CONUT were independent prognostic predictors for OS (GNRI < 95.7, hazard ratio [HR] 1.83, 95% confidence interval [CI] 1.22-2.74,P= 0.0032; CONUT > 4, HR 1.53, 95% CI 1.05-2.23,P= 0.028) after multivariate analyses. Nutritional status determined with GNRI affected OS more strongly in the patients with nongerminal center B cell-like (nonGCB) DLBCL compared with that in those with GCB-type DLBCL. In conclusion, baseline poor nutritional status determined based on GNRI or CONUT was an independent risk factor of newly diagnosed DLBCL, and GNRI was also useful as an independent prognostic factor for patients with nonGCB-type DLBCL.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available