Impact of the lactate dehydrogenase in association with the International Staging System prognostic score in multiple myeloma patients treated in real life

Multiple myeloma is characterized by proliferation of clonal plasma cells. The identification of prognostics factors to identify patient's risk is important. Among the studied factors, it was identified of relevant importance the lactic dehydrogenase. To evaluate the impact of the value of DHL...

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Bibliographic Details
Published in:Hematology, Transfusion and Cell Therapy Transfusion and Cell Therapy, 2023-04, Vol.45 (2), p.259-265
Main Authors: Viol Ferreira Lopes, Maricy Almeida, Higashi, Fabiana, Crusoe, Edvan de Queiroz, Peres, Ana Lucia Miguel, Cury, Priscilla, Hungria, Vania Tietsche de Moraes
Format: Article
Language:English
Subjects:
ISS, Staging prognosis
Lactic dehydrogenase
MEDICINE, GENERAL & INTERNAL
Multiple myeloma
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Summary:Multiple myeloma is characterized by proliferation of clonal plasma cells. The identification of prognostics factors to identify patient's risk is important. Among the studied factors, it was identified of relevant importance the lactic dehydrogenase. To evaluate the impact of the value of DHL in combination with the score ISS in the medium patients overall survival (OS). It is a retrospective cohort with 252 patients with MM recently-diagnosed that attendance in the institution of the study. To evaluate the association between DHL and ISS, we found 6 new groups to be analyzed: ISS I and normal DHL with medium overall survival not reached, and with DHL loud with medium OS of 69,8 months, ISS II and normal DHL with medium overall survival of 78,8 months and with DHL loud with medium OS of 73,9 months, ISS III and normal DHL with medium overall survival of 46,7 months and with DHL loud with medium OS of 45,5 months. Through the association of ISS I and normal DHL, ISS III and high DHL and others combinations, we build a new score with superior impact prognostic in our population treated in real life.
ISSN:2531-1379
2531-1387
2531-1387
DOI:10.1016/j.htct.2022.07.005