Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma
Objective To investigate the prognostic value of lactate dehydrogenase (LDH), serum albumin (ALB) and the lactate dehydrogenase/albumin ratio (LAR) in diffuse large B-cell lymphoma (DLBCL) before primary treatment.Methods The clinical data of 212 primary adult DLBCL patients admitted to the First Pe...
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Taylor & Francis Group
2024-12-01
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| Series: | Hematology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/16078454.2023.2293514 |
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| author | Wenke Wu Lei Miao Lidong Zhao Yuanxin Zhu Jianping Mao Zhimei Cai Yajun Ji Lei Wang Ying Wang Tao Jia |
| author_facet | Wenke Wu Lei Miao Lidong Zhao Yuanxin Zhu Jianping Mao Zhimei Cai Yajun Ji Lei Wang Ying Wang Tao Jia |
| author_sort | Wenke Wu |
| collection | DOAJ |
| description | Objective To investigate the prognostic value of lactate dehydrogenase (LDH), serum albumin (ALB) and the lactate dehydrogenase/albumin ratio (LAR) in diffuse large B-cell lymphoma (DLBCL) before primary treatment.Methods The clinical data of 212 primary adult DLBCL patients admitted to the First People's Hospital of Lianyungang from January 2017 to December 2022 were analyzed retrospectively. The optimal cutoff values of LDH, ALB, and LAR were determined using ROC curves. Survival curves of LDH, ALB, and LAR were plotted and analyzed using the Cox regression model and Kaplan–Meier method with the log-rank test.Results Among the 212 patients admitted, the study derived the optimal cutoff values for ALB, LDH, and LAR as 38, 301, and 6, respectively. The Kaplan–Meier method and log-rank test analysis indicated a significant association between lower ALB levels, elevated LDH levels, elevated LAR levels, and shorter overall survival (OS) and progression-free survival (PFS) (P < 0.05). Additionally, the critical values of ALB and LDH were grouped into three categories. The differences in OS and PFS among these three groups were statistically significant (P < 0.05). Cox multifactorial analysis revealed that the LAR was an independent factor influencing the prognosis of OS and PFS, with a higher prognostic value than LDH and ALB alone.Conclusion Decreased ALB levels and elevated LDH and LAR levels at the time of initial diagnosis are indicative of a poor prognosis in DLBCL patients. Furthermore, the study highlighted that the LAR has a higher prognostic value than LDH and ALB alone. |
| format | Article |
| id | doaj-art-c4412c04fb9f4f55aaf31e5389499b97 |
| institution | Kabale University |
| issn | 1607-8454 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Hematology |
| spelling | doaj-art-c4412c04fb9f4f55aaf31e5389499b972024-12-12T15:08:54ZengTaylor & Francis GroupHematology1607-84542024-12-0129110.1080/16078454.2023.2293514Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphomaWenke Wu0Lei Miao1Lidong Zhao2Yuanxin Zhu3Jianping Mao4Zhimei Cai5Yajun Ji6Lei Wang7Ying Wang8Tao Jia9Jinzhou Medical University, Jinzhou, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Oncology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Oncology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaDepartment of Hematology, The First People’s Hospital of Lianyungang, The First Affiliated Hospital of Kangda College of Nanjing Medical University, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, People’s Republic of ChinaObjective To investigate the prognostic value of lactate dehydrogenase (LDH), serum albumin (ALB) and the lactate dehydrogenase/albumin ratio (LAR) in diffuse large B-cell lymphoma (DLBCL) before primary treatment.Methods The clinical data of 212 primary adult DLBCL patients admitted to the First People's Hospital of Lianyungang from January 2017 to December 2022 were analyzed retrospectively. The optimal cutoff values of LDH, ALB, and LAR were determined using ROC curves. Survival curves of LDH, ALB, and LAR were plotted and analyzed using the Cox regression model and Kaplan–Meier method with the log-rank test.Results Among the 212 patients admitted, the study derived the optimal cutoff values for ALB, LDH, and LAR as 38, 301, and 6, respectively. The Kaplan–Meier method and log-rank test analysis indicated a significant association between lower ALB levels, elevated LDH levels, elevated LAR levels, and shorter overall survival (OS) and progression-free survival (PFS) (P < 0.05). Additionally, the critical values of ALB and LDH were grouped into three categories. The differences in OS and PFS among these three groups were statistically significant (P < 0.05). Cox multifactorial analysis revealed that the LAR was an independent factor influencing the prognosis of OS and PFS, with a higher prognostic value than LDH and ALB alone.Conclusion Decreased ALB levels and elevated LDH and LAR levels at the time of initial diagnosis are indicative of a poor prognosis in DLBCL patients. Furthermore, the study highlighted that the LAR has a higher prognostic value than LDH and ALB alone.https://www.tandfonline.com/doi/10.1080/16078454.2023.2293514Diffuse large B-cell lymphoma (DLBCL)serum albumin (ALB)lactate dehydrogenase (LDH)lactate dehydrogenase-to-albumin ratio (LAR)prognosis |
| spellingShingle | Wenke Wu Lei Miao Lidong Zhao Yuanxin Zhu Jianping Mao Zhimei Cai Yajun Ji Lei Wang Ying Wang Tao Jia Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma Hematology Diffuse large B-cell lymphoma (DLBCL) serum albumin (ALB) lactate dehydrogenase (LDH) lactate dehydrogenase-to-albumin ratio (LAR) prognosis |
| title | Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma |
| title_full | Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma |
| title_fullStr | Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma |
| title_full_unstemmed | Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma |
| title_short | Prognostic value of lactate dehydrogenase, serum albumin and the lactate dehydrogenase/albumin ratio in patients with diffuse large B-cell lymphoma |
| title_sort | prognostic value of lactate dehydrogenase serum albumin and the lactate dehydrogenase albumin ratio in patients with diffuse large b cell lymphoma |
| topic | Diffuse large B-cell lymphoma (DLBCL) serum albumin (ALB) lactate dehydrogenase (LDH) lactate dehydrogenase-to-albumin ratio (LAR) prognosis |
| url | https://www.tandfonline.com/doi/10.1080/16078454.2023.2293514 |
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