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

CharacteristicsUnivariate analysisMultivariate analysis
HR (95%CI)PHR (95%CI)P
Male1.43 (0.49–4.10)0.512
Age >602.75 (0.89–8.56)0.080
BMI <18.50.04 (0.00–74.49)0.408
ECOG PS 2–31.13 (0.42–3.03)0.810
Ann Arbor stage III–IV1.79 (0.78–4.11)0.169
B symptoms0.49 (0.14–1.73)0.270
IPI risk
 Low1.00
 Low-intermediate0.89 (0.22–3.56)0.869
 High-intermediate1.98 (0.49–7.93)0.335
 High2.94 (0.72–11.93)0.132
LDH elevation (>240 U/L)3.29 (1.19–9.09)0.021* 2.83 (1.003–8.01)0.049*
Bone marrow involvement4.84 (1.55–15.11)0.007*
Prior regimens
 <51.00
 5–101.16 (0.23–5.98)0.859
 ≥101.51 (0.52–4.42)0.451
Rituximab induction1.66 (0.62–4.43)0.312
PR or NR1.84 (0.68–4.94)0.227
Disease duration0.99 (0.96–1.02)0.564
Albumin <37 g/L2.79 (0.97–8.08)0.058
TP <60 g/L4.65 (1.72–12.59)0.002* 3.74 (1.35–10.38)0.011*
Globulin level0.90 (0.81–1.01)0.073
Albumin/globulin ratio2.13 (0.55–8.27)0.275
Conditioning regimen
 BEAM1.00
 BEAC1.40 (0.13–15.49)0.782
 CBV3.73 (0.41–27.84)0.259
 CHOP-like3.24 (0.38–27.74)0.283
Dose of infused mononuclear cells0.87 (0.67–1.13)0.295
Maintenance therapy0.41 (0.12–1.47)0.173
*
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; 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