Effects of Different Nutritional Scoring Systems on Prognosis of Elderly Patients with Multiple Myeloma
10.19746/j.cnki.issn1009-2137.2024.02.027
- VernacularTitle:不同营养评分系统对老年多发性骨髓瘤患者预后的影响
- Author:
Qing-Fen LI
1
;
Qi-Ke ZHANG
;
Xiao-Fang WEI
;
You-Fan FENG
;
Yuan FU
;
Yang-Yang ZHAO
;
Xiu-Juan HUANG
Author Information
1. 甘肃省人民医院血液科,甘肃兰州 730000
- Keywords:
multiple myeloma;
elderly;
nutritional scoring system;
prognosis
- From:
Journal of Experimental Hematology
2024;32(2):499-504
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the prognostic nutritional index(PNI),controlling nutritional status(CONUT)and fibrinogen/albumin ratio(FAR)levels in elderly patients with multiple myeloma(MM)and their prognostic impact.Methods:The clinical data of 74 elderly MM patients diagnosed in Gansu Provincial Hospital from January 2020 to July 2022 were retrospectively analyzed.The optimal cut-off values for PNI,CONUT score and FAR were obtained by receiver operating characteristic(ROC)curve,which were used for grouping patients.The correlation of above three indexes with clinical parameters such as sex,serum calcium(Ca),β2-microglobulin(β2-MG),serum creatinine(Cr)in elderly MM patients were analyzed.The survival rates of patients with different levels of each index were compared.Univariate and multivariate analysis of the impact of clinical indicators on the prognosis of patients were performed.Results:The optimal cut-off values for PNI,CONUT score and FAR were 39.775,3.5 and 0.175,respectively,according to which the patients were divided into high and low group.Statistical analysis showed that there were significant differences in albumin level among different groups(all P＜0.05).In addition,there was a significant difference in hemoglobin between high-PNI group and low-PNI group(P＜0.05),while in sex distribution between high-FAR and low-FAR group(P＜0.05).The survival rate of elderly MM patients with increased PNI,decreased CONUT score and FAR was higher(all P＜0.05).Univariate and multivariate analysis showed that β2-MG,Cr,PNI,CONUT score and FAR were independent prognostic factors for elderly MM patients.Conclusion:PNI,CONUT score and FAR are related to some clinical indicators of elderly MM patients,and have an impact on the prognosis.
