STUDY ON THE PROGNOSTIC VALUES OF PROGNOSTIC NUTRITIONAL INDEX IN PATIENTS WITH MULTIPLE MYELOMA

Văn Quang Hà1, , Thị Tâm Trần1
1 Bộ môn - Trung tâm Nội Dã chiến, Bệnh viện Quân y 103, Học viện Quân y

Main Article Content

Abstract

Objective: To conduct a study on the prognostic values of the Prognostic Nutritional Index (PNI) for patients with multiple myeloma receiving treatment at Military Hospital 103 between 2014 and 2023. Subjects and methods: 64 patients were diagnosed and treated for multiple myeloma at Military Hospital 103 from January 2014 to December 2023. Results: For patients with multiple myeloma, the PNI index has a cutoff value of 43.1 for overall survival (OS). The risk progression of multiple myeloma was reduced by 53% and the risk of death of multiple myeloma was reduced by 62% in patients with a PNI > 43.1 compared with patients with a PNI ≤ 43.1. The PNI > 43.1 group had progression-free survival (PFS) of 34.0 ± 6.7 (months), which was significantly higher than the PNI ≤ 43.1 group (PFS = 16.6 ± 3.8 (months)), with p = 0.018. The overall survival (OS) of the PNI > 43.1 group was 63.0 ± 12.4 (months) which was statistically significantly longer than the PNI ≤ 43.1 group (OS = 24.4 ± 3,7 (months)), with p = 0.008. Conclusion: PNI is a highly valuable index in the prognosis of patients with multiple myeloma.

Article Details

References

1. Spicka I. Advances in multiple myeloma therapy during two past decades. Computational and Structural Biotechnology Journal. 2014; 10(16): 38-40.
2. Greipp PR, San Miguel J, Durie BG, et al. International staging system for multiple myeloma. J Clin Oncol. May 20 2005; 23(15):3412-3420.
3. Rajkumar SV, Dimopoulos MA, Palumbo A, et al. International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. The Lancet Oncology. 2014; 15(12):e538-e548.
4. Xiaoshuang C, Zhengjie G, Panke G, et al. Relationship between LMR, PNI and chemotherapy response and prognosis in patients with multiple myeloma. Chinese General Practice Journal. 2023; 21(12):2022-2026.
5. Liang F, Dong XY, Tang GF, et al. Influence of prognostic nutritional index and controlling nutritional status on the prognosis of patients with multiple myeloma. Zhonghua Xue Ye Xue Za Zhi. Apr 14 2021; 42(4):332-337.
6. Mirili C, Yılmaz A, Demirkan S, et al. Clinical significance of prognostic nutritional index (PNI) in malignant melanoma. International Journal of Clinical Oncology. 2019; 24:1301-1310.
7. Yang F, Li L, Mi Y, et al. Effectiveness of an early, quantified, modified oral feeding protocol on nutritional status and quality of life of patients after minimally invasive esophagectomy: A retrospective controlled study. Nutrition. 2022; 94:111540.
8. Periša V, Zibar L, Knezović A, Periša I, Sinčić-Petričević J, Aurer I. Prognostic nutritional index as a predictor of prognosis in patients with diffuse large B cell lymphoma. Wiener klinische Wochenschrift. 2017; 129:411-419.
9. Oh JS, Park DJ, Byeon K-H, et al. Decrease of preoperative serum albumin-to-globulin ratio as a prognostic indicator after radical cystectomy in patients with urothelial bladder cancer: Albumin-to-globulin ratio and bladder cancer. Urology Journal. 2021; 18(01): 66-73.
10. Pepedil-Tanrikulu F, Buyukkurt N, Korur A, et al. Significance of lymphocyte count, monocyte count, and lymphocyte-to-monocyte ratio in predicting molecular response in patients with chronic myeloid leukemia: A single-centre experience. Clinical Laboratory. 2020; 66(3):319-324.