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12 October 2021 : Original article  

Prognostic Role of Serum Albumin Level in Patients with Lymphoma Undergoing Autologous Stem Cell Transplantation

Chengxin Luo12CDE, Qingrong Li12B, Xi Li ORCID logo3B, Guixian Wu12B, Xiangtao Huang12B, Yali Zhang12B, Yanni Ma12B, Mingling Xie12B, Yanni Sun ORCID logo12B, Yarui Huang12B, Zhen Huang12B, Shuangnian Xu12AEG*, Jieping Chen12AEG

DOI: 10.12659/AOT.933365

Ann Transplant 2021; 26:e933365

Table 3 Results of univariate and multivariate Cox regression analyses for overall survival.

CharacteristicsUnivariate analysisMultivariate analysis
HR (95%CI)PHR (95%CI)P
Male1.68 (0.66–4.3)0.278
Age >602.64 (0.89–7.83)0.079
BMI <18.50.42 (0.06–3.14)0.400
Lymphoma subtype
 B-NHL
 T-NHL1.91 (0.70–5.22)0.206
 NK/T-NHL1.10 (0.15–8.34)0.924
 HL0.04 (0.00–12.66)0.270
ECOG PS 2–31.13 (0.48–2.64)0.783
Ann Arbor stage III–IV1.39 (0.79–2.46)0.252
B symptoms0.55 (0.2–1.5)0.246
IPI risk
 Low
 Low-intermediate0.80 (0.25–2.53)0.706
 High-intermediate1.47 (0.46–4.64)0.513
 High2.35 (0.74–7.41)0.146
LDH elevation (>240 U/L)2.14 (0.92–4.95)0.076
Bone marrow involvement2.42 (0.82–7.17)0.111
Prior regimens
 <5
 5–100.87 (0.32–2.40)0.793
 ≥102.46 (0.56–10.81)0.233
PR or NR1.80 (0.76–4.30)0.183
Disease duration0.99 (0.96–1.02)0.425
Albumin <37 g/L3.29 (1.28–8.46)0.013*
TP <60 g/L3.57 (1.45–8.78)0.006* 3.57 (1.45–8.78)0.006*
Globulin level0.94 (0.86–1.04)0.236
Albumin/globulin ratio1.17 (0.34–4.02)0.808
Conditioning regimen
 BEAM1.00
 BEAC1.52 (0.28–8.32)0.627
 CBV2.14 (0.44–10.40)0.344
 CHOP-like3.45 (0.73–16.36)0.118
Dose of infused mononuclear cells0.86 (0.68–1.07)0.174
Maintenance therapy0.49 (0.18–1.34)0.165
*
BEAC – carmustine, etoposide, cytarabine, and cyclophosphamide; BEAM – carmustine, etoposide, cytarabine, and melphalan; BMI – body mass index; CHOP – cyclophosphamide, anthracycline, vincristine, and prednisone; CBV – cyclophosphamide, carmustine, and etoposide; CR – complete remission; ECOG PS – Eastern Cooperative Oncology Group performance status; HL – Hodgkin lymphoma; HR – hazard ratio; IPI – international prognostic index; LDH – lactate dehydrogenase; NHL – non-Hodgkin lymphoma; NR – no response; OS – overall survival; PR – partial remission; TP – total protein.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358