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12 October 2021: Original Paper

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

Chengxin Luo 12CDE , Qingrong Li 12B , Xi Li 3B , Guixian Wu 12B , Xiangtao Huang 12B , Yali Zhang 12B , Yanni Ma 12B , Mingling Xie 12B , Yanni Sun 12B , Yarui Huang 12B , Zhen Huang 12B , Shuangnian Xu 12AEG* , Jieping Chen 12AEG*

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
BMI0.42 (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
 5–100.87 (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
Albumin3.29 (1.28–8.46)0.013*
TP3.57 (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