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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 4 Results of univariate and multivariate Cox regression analyses for progression-free survival in the B-cell non-Hodgkin lymphoma subgroup.

CharacteristicsUnivariate analysisMultivariate analysis
HR (95%CI)PHR (95%CI)P
Male2.07 (0.87–4.91)0.100
Age >603.37 (1.41–8.06)0.006* 4.06 (1.67–9.86)0.002*
BMI <18.50.04 (0.00–13.61)0.283
ECOG PS 2–31.75 (0.81–3.80)0.154
Ann Arbor stage III–IV1.47 (0.85–2.57)0.172
B symptoms0.99 (0.45–2.22)0.988
IPI risk
 Low1.00
 Low-intermediate1.46 (0.52–4.15)0.474
 High-intermediate1.68 (0.51–5.53)0.390
 High3.39 (1.13–10.18)0.029*
LDH elevation (>240 U/L)2.52 (1.18–5.40)0.017*
Bone marrow involvement3.09 (1.16–8.24)0.024*
Prior regimens
 <51.00
 5–101.40 (0.60–3.25)0.432
 ≥101.11 (0.53–2.35)0.783
Rituximab induction0.96 (0.44–2.09)0.909
PR or NR2.65 (1.21–5.80)0.015*
Disease duration1.00 (0.98–1.02)0.711
Albumin <37 g/L3.29 (1.47–7.37)0.004* 3.22 (1.42–7.29)0.005*
TP <60 g/L2.81 (1.26–6.27)0.012*
Globulin level0.95 (0.87–1.03)0.186
Albumin/globulin ratio0.90 (0.29–2.82)0.862
Conditioning regimen
 BEAM1.00
 BEAC1.23 (0.36–4.24)0.738
 CBV1.05 (0.32–3.50)0.935
 CHOP-like0.75 (0.20–2.80)0.667
Dose of infused mononuclear cells0.97 (0.81–1.16)0.712
Maintenance therapy1.12 (0.50–2.49)0.782
*
B-NHL – B-cell non-Hodgkin lymphoma; 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; PFS – progression-free survival; PR – partial remission; TP – total protein.

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