PMID- 31041191 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 9 DP - 2019 TI - Pretreatment Level of Red Cell Distribution Width as a Prognostic Indicator for Survival in a Large Cohort Study of Male Laryngeal Squamous Carcinoma. PG - 271 LID - 10.3389/fonc.2019.00271 [doi] LID - 271 AB - Objective: High levels of red cell distribution width (RDW) may be associated with adverse outcomes in patients with cancer. The purpose of the present study was to investigate the prognostic impact of pretreatment RDW levels on overall survival (OS), cancer-specific survival (CSS), and disease-free survival (DFS) in a large cohort of male laryngeal squamous cell cancer (LSCC) patients. Methods: A total of 809 LSCC patients who were treated between 2007 and 2011 at the Eye & ENT Hospital of Fudan University were enrolled and evaluated retrospectively. OS, CSS, and DFS were analyzed using the Kaplan-Meier method. To evaluate the prognostic significance of RDW levels, univariate, and multivariate Cox analyses were applied. Results: Higher pretreatment RDW levels were significantly associated with high death events, red blood cell count, hemoglobin, radiotherapy, operation therapy, and advanced tumor stage (p < 0.05). From the univariate analysis, we observed that the higher (13.2-13.5%) and the highest (>13.5%) quartiles of RDW level were consistent factors for poor OS, CSS, and DFS in LSCC patients. In the multivariate analysis, after adjusting for confounding factors, the higher and highest quartiles of RDW levels were identified as independent prognostic factors in male LSCC patients. Conclusion: Higher pretreatment RDW levels were demonstrated to be associated with poor clinical outcome in male LSCC patients and might be novel markers for patient stratification in LSCC management. FAU - Hsueh, Chi-Yao AU - Hsueh CY AD - Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China. FAU - Lau, Hui-Ching AU - Lau HC AD - Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China. FAU - Li, Shengjie AU - Li S AD - Department of Clinical Laboratory, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Tao, Lei AU - Tao L AD - Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China. FAU - Zhang, Ming AU - Zhang M AD - Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China. FAU - Gong, Hongli AU - Gong H AD - Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China. FAU - Zhou, Liang AU - Zhou L AD - Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China. LA - eng PT - Journal Article DEP - 20190416 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC6477051 OTO - NOTNLM OT - biomarker OT - laryngeal squamous cell cancer OT - male OT - prognosis OT - red cell distribution width EDAT- 2019/05/02 06:00 MHDA- 2019/05/02 06:01 PMCR- 2019/01/01 CRDT- 2019/05/02 06:00 PHST- 2018/12/12 00:00 [received] PHST- 2019/03/25 00:00 [accepted] PHST- 2019/05/02 06:00 [entrez] PHST- 2019/05/02 06:00 [pubmed] PHST- 2019/05/02 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2019.00271 [doi] PST - epublish SO - Front Oncol. 2019 Apr 16;9:271. doi: 10.3389/fonc.2019.00271. eCollection 2019.