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Analysis of prognostic factors in patients with newly diagnosed diffuse large B-cell lymphoma and skeletal involvement

Overview of attention for article published in BMC Cancer, February 2017
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Title
Analysis of prognostic factors in patients with newly diagnosed diffuse large B-cell lymphoma and skeletal involvement
Published in
BMC Cancer, February 2017
DOI 10.1186/s12885-017-3113-z
Pubmed ID
Authors

Nicola Lehners, Isabelle Krämer, Maral Saadati, Axel Benner, Anthony D. Ho, Mathias Witzens-Harig

Abstract

Skeletal involvement (SI) is observed at low prevalence in patients with diffuse large B-cell lymphoma (DLBCL). Due to the rareness of this particular condition, prospective trials for these patients are scarce. We analyzed clinical characteristics and outcome of 75 patients with DLBCL and SI in order to identify factors with prognostic impact towards progression-free survival (PFS) and overall survival (OS). Limited stage disease (Ann Arbor stage IE-IIE) was present in 34 patients (45%), 41 patients (55%) had advanced stage disease (Ann Arbor stage IIIE-IVE). Outcome was generally favorable for patients with DLBCL and SI with 3-year OS of 83%. The international prognostic index (IPI) was able to distinguish between different risk groups within this specific entity. Additionally, hypercalcemia showed to be a factor significantly associated with inferior survival. In regard to first-line treatment modalities, consolidative radiotherapy was positively associated with prolonged PFS and OS while intensification of chemotherapy had no significant impact. In our cohort of patients with DLBCL and SI, high-risk IPI as well as presence of hypercalcemia were associated with inferior outcome. Consolidative radiotherapy had a positive impact on survival.

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The data shown below were compiled from readership statistics for 20 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 20 100%

Demographic breakdown

Readers by professional status Count As %
Other 3 15%
Student > Bachelor 3 15%
Student > Postgraduate 2 10%
Student > Doctoral Student 1 5%
Lecturer 1 5%
Other 5 25%
Unknown 5 25%
Readers by discipline Count As %
Medicine and Dentistry 8 40%
Nursing and Health Professions 2 10%
Computer Science 1 5%
Agricultural and Biological Sciences 1 5%
Materials Science 1 5%
Other 1 5%
Unknown 6 30%