PMID- 33776456 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220421 IS - 1178-6973 (Print) IS - 1178-6973 (Electronic) IS - 1178-6973 (Linking) VI - 14 DP - 2021 TI - The Value of Nutritional Status in the Prognostic Analysis of Patients with AIDS-Related Lymphoma. PG - 1105-1113 LID - 10.2147/IDR.S295077 [doi] AB - OBJECTIVE: Many studies have suggested that indexes of nutritional status, such as body mass index (BMI), serum albumin (ALB), serum pre-albumin (PA), and hemoglobin, may be used as risk factors for the prognosis of HIV or lymphoma. Therefore, this study aimed to retrospectively analyze and explore the value of nutritional status in the prognostic assessment of patients with AIDS-related lymphoma (ARL). METHODS: In this retrospective study, the clinical data of 69 patients with ARL were collected. All patients had a definite diagnosis of non-Hodgkin lymphoma by pathological examination and met the requirements of the Hematopoietic and Lymphocytic Tissue Tumor Classification (2016) established by the World Health Organization. Patients who did not receive standard chemotherapy, those with incomplete medical records, and those with an unclear pathological diagnosis were excluded. The patients were divided into two groups (survival and death) according to the prognostic outcome, and their clinical characteristics and prognoses were discussed by relevant statistical methods. RESULTS: During the three-year follow-up period, 20 (28.99%) patients died, and 49 (71.01%) survived. The one-year cumulative survival rate was 78.26%. A univariate analysis found that the prognosis was associated with the International Prognostic Index (IPI) score, BMI, ALB, PA, and CD4 T lymphocyte count. The Cox risk proportional regression analysis showed that the IPI score, BMI, and PA were the independent risk factors for survival; their combination had a greater ability to forecast the clinical outcome (area under the curve = 0.874, P < 0.001). CONCLUSION: In this study, at the time of the visit, the patients with ARL tended to be in the advanced stages of disease and, therefore, at high risk of mortality. Therefore, their nutritional status might be of great value to the prognostic assessment. The combination of BMI, PA, and IPI scores could be used for risk stratification and better screening of high-risk patients. CI - (c) 2021 Sun et al. FAU - Sun, Yanbo AU - Sun Y AD - Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, People's Republic of China. FAU - Luo, Jing AU - Luo J AD - Department of Gastrointestinal Surgery, The First People's Hospital of Qujing, Qujing, 655000, People's Republic of China. FAU - Qian, Chuan AU - Qian C AD - The Second Department of Infection, Yunnan Provincial Infectious Disease Hospital, Kunming, 650301, People's Republic of China. FAU - Luo, Lan AU - Luo L AD - The Second Department of Infection, Yunnan Provincial Infectious Disease Hospital, Kunming, 650301, People's Republic of China. FAU - Xu, Manqi AU - Xu M AD - Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, People's Republic of China. FAU - Min, Haiyan AU - Min H AD - The Second Department of Infection, Yunnan Provincial Infectious Disease Hospital, Kunming, 650301, People's Republic of China. FAU - Cen, Yunyun AU - Cen Y AD - Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Kunming Medical University, Kunming, 650101, People's Republic of China. LA - eng PT - Journal Article DEP - 20210318 PL - New Zealand TA - Infect Drug Resist JT - Infection and drug resistance JID - 101550216 PMC - PMC7987257 OTO - NOTNLM OT - AIDS-related lymphoma OT - body mass index OT - pre-albumin OT - prognostic factor OT - retrospective analysis COIS- The authors declare that they have no competing interests. EDAT- 2021/03/30 06:00 MHDA- 2021/03/30 06:01 PMCR- 2021/03/18 CRDT- 2021/03/29 06:18 PHST- 2020/12/16 00:00 [received] PHST- 2021/02/24 00:00 [accepted] PHST- 2021/03/29 06:18 [entrez] PHST- 2021/03/30 06:00 [pubmed] PHST- 2021/03/30 06:01 [medline] PHST- 2021/03/18 00:00 [pmc-release] AID - 295077 [pii] AID - 10.2147/IDR.S295077 [doi] PST - epublish SO - Infect Drug Resist. 2021 Mar 18;14:1105-1113. doi: 10.2147/IDR.S295077. eCollection 2021.