Higher Red Blood Cell Distribution Width Is an Adverse Prognostic Factor in Chronic-phase Chronic Myeloid Leukemia Patients Treated with Tyrosine Kinase Inhibitors

被引:5
作者
Iriyama, Noriyoshi [1 ]
Hatta, Yoshihiro [1 ]
Kobayashi, Sumiko [1 ]
Uchino, Yoshihito [1 ]
Miura, Katsuhiro [1 ]
Kurita, Daisuke [1 ]
Kodaira, Hitomi [1 ]
Takahashi, Hiromichi [1 ]
Iizuka, Yoshikazu [1 ]
Inoue, Mitsuru [2 ]
Takei, Masami [1 ]
机构
[1] Nihon Univ, Sch Med, Dept Med, Div Hematol & Rheumatol,Itabashi Ku, Tokyo 1738610, Japan
[2] Nihon Univ, Sch Med, Dept Clin Lab, Itabashi Ku, Tokyo 1738610, Japan
关键词
Red blood cell distribution width; chronic myeloid leukemia; prognosis; EUTOS SCORE; EUROPEAN TREATMENT; TREATMENT RESPONSE; IMATINIB; RECOMMENDATIONS; DASATINIB; OUTCOMES; NILOTINIB;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The significance of red blood cell distribution width (RDW) was evaluated in patients with chronic myeloid leukemia (CML) in the chronic phase (CP). Eighty-four patients with newly-diagnosed CML-CP treated with any tyrosine kinase inhibitor (TKI) were analyzed. Patients were divided into two groups: a low-RDW group (RDW values <= 15%, n=31) and a high-RDW group (RDW values >15%, n=53). The 5-year event-free survival (EFS) and transformation-free survival (TFS) rates differed significantly between the low-and high-RDW groups (100% and 68%, respectively, in EFS, p=0.0071 and 100% and 81%, respectively, in TFS, p=0.039). The stratification by RDW had an impact on overall 5-year survival (100% in the low and 77% in the high RDW groups, p=0.047). We conclude that the RDW has a critical role in risk stratification of CML-CP patients for predicting treatment responses and outcomes.
引用
收藏
页码:5473 / 5478
页数:6
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