The Influence of CONUT Score on the Prognosis of Patients with Multiple Myeloma.
10.19746/j.cnki.issn.1009-2137.2021.03.020
- Author:
Yan-Qing LI
1
;
Yin WANG
1
;
Ying SONG
1
;
Ye HAN
1
;
Jing-Jing LI
1
;
Ling-Ling YUE
1
;
Peng-Yun ZENG
1
;
Chong-Yang WU
1
;
Ye CHAI
2
,
3
Author Information
1. Department of Hematology, Lanzhou University Second Hospital, Lanzhou 730000, Gansu Province, China.
2. Department of Hematology, Lanzhou University Second Hospital, Lanzhou 730000, Gansu Province, China,E-mail: papillon2009@
3. com.
- Publication Type:Journal Article
- MeSH:
Humans;
Lymphocyte Count;
Multiple Myeloma/diagnosis*;
Nutritional Status;
Prognosis;
Retrospective Studies
- From:
Journal of Experimental Hematology
2021;29(3):781-786
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the influence of controlling nutritional status (CONUT) score on the prognosis of newly diagnosed patients with multiple myeloma (MM).
METHODS:The clinical data 119 patients with MM who were diagnosed according to the international myeloma diagnostic criteria in Lanzhou University Second Hospital from April 2010 to October 2018 were collected and retrospectively analyzed. The relationship between clinical indexes, including age, sex, MM type, absolute lymphocyte count (ALC), absolute neutrophil count (ANC), absolute monocyte count (AMC), hemoglobin (Hb), platelet (PLT), β
RESULTS:Compared with high-scoring group, low-scoring group had a better OS ［median OS was 43.3 months and 127.67 months, respectively, 95% confidence interval (CI): 57.065-78.345, P=0.038］. At the same time, the low-scoring group also had higher level of ALC, ANC, AMC, Hb, PLT, ALB, and CHO but lower of GLO. Multivariate survival analysis showed that age (HR=1.027, 95%CI: 1.000-1.054, P=0.048), AMC (HR=11.284, 95%CI: 22.968-42.897, P<0.001), CONUT score (HR=1.198, 95%CI: 1.036-1.385, P=0.015), M protein (non-IgG/IgG type) type (HR=0.503, 95%CI: 0.259-0.977, P=0.043) were independent factors affecting the prognosis of MM patients.
CONCLUSION:The CONUT score as an immune-nutrition score is a convenient and easy-to-obtain index to effectively predict the prognosis of MM patients.
