Factors associated with the development of Tumor Lysis Syndrome among pediatric cancer patients at the Philippine Children’s Medical Center.
- Author:
Maria Carmela Gabrielle L. Tingne
;
Anne Lolita B. Tomas – Abadilla
;
Maria Beatriz P. Gepte
- Publication Type:Journal Article
- Keywords:
pediatric cancer;
risk factors for TLS
- MeSH:
tumor lysis syndrome
- From:
The Philippine Children’s Medical Center Journal
2023;19(1):75-87
- CountryPhilippines
- Language:English
-
Abstract:
BACKGROUND:Tumor lysis syndrome (TLS) is an oncologic emergency resulting from cancer
chemotherapy; delays in its recognition could be life-threatening. Early recognition of associated risk
factors and its management may help prevent its occurrence.
OBJECTIVE:To identify the risk factors for TLS among cancer patients at the Philippine Children’s Medical Center.
METHODS:This was a retrospective case-control study. Categorical variables were compared using chi-square test and continuous variables were compared using independent t-test. The association
between TLS and patients’ characteristics was determined through logistic regression analysis.
RESULTS:Medical records of 712 patients with cancer seen between 2016-2020 were reviewed.
Children with (n=35) and without (n=137) TLS were selected as cases and controls and matched for
age and cancer type. Factors associated with TLS are underweight patients with BMI < 18.5 (cOR
0.33, 95% CI 0.11-0.98); patients with both hepatomegaly and splenomegaly were four times more
likely to develop TLS (cOR 3.946, 95% CI 1.2-12.94) while patients with lymphadenopathy were
twice more likely to develop TLS (cOR 2.309, 95% CI 1.02-5.21). Patients with elevated WBC, low
phosphorus and high uric acid at baseline have increased odds of developing TLS.
CONCLUSIONS:After group matching for age and cancer type, factors associated with increased
odds of TLS among pediatric cancer patients in PCMC are hepatosplenomegaly, lymphadenopathy,
elevated WBC, low potassium level, low phosphorus and high uric acid at baseline with higher fluid
balance.
- Full text:19(1)_7.pdf
