PMID- 34753299 OWN - NLM STAT- MEDLINE DCOM- 20220404 LR - 20220405 IS - 1752-0371 (Electronic) IS - 1752-0363 (Linking) VI - 16 IP - 2 DP - 2022 Feb TI - Integration of low muscle mass into the IPS system and its prognostic significance in patients with Hodgkin's lymphoma. PG - 57-67 LID - 10.2217/bmm-2021-0696 [doi] AB - Aim: The aim of this study is to determine whether a novel prognostic score can be obtained by including low muscle mass in the international prognostic score (IPS) system. Materials & Methods: Psoas muscle areas were determined in the PET/CT scans of the patients taken for staging at the time of diagnosis and after two cycles of ABVD. After evaluating the effect of low muscle mass on overall survival, receiver operating characteristic (ROC) analyzes were performed by including it in IPS systems. Results: Overall survival was significantly lower in patients with low muscle mass. Adding low muscle mass to IPS scores increased AUC, sensitivity and specificity. Conclusion: The integration of low muscle mass into the IPS scoring systems increased the success of these systems in predicting a prognosis. FAU - Koyuncu, Mahmut Bakir AU - Koyuncu MB AUID- ORCID: 0000-0002-0507-9294 AD - Department of Hematology, Adana City Research & Training Hospital, Adana, 01170, Turkey. FAU - Guler, Erkan AU - Guler E AUID- ORCID: 0000-0003-0881-1003 AD - Department of General Surgery, Faculty of Medicine, Mersin University, Mersin, 33343, Turkey. FAU - Koseci, Tolga AU - Koseci T AUID- ORCID: 0000-0002-8696-0525 AD - Department of Medical Oncology, Adana City Research & Training Hospital, Adana, 01170, Turkey. FAU - Ucar, Mehmet Ali AU - Ucar MA AUID- ORCID: 0000-0002-6041-7364 AD - Department of Hematology, Faculty of Medicine, Cukurova University, Adana, 01260, Turkey. FAU - Tombak, Anil AU - Tombak A AUID- ORCID: 0000-0002-7195-1845 AD - Department of Hematology, Faculty of Medicine, Mersin University, Mersin, 33343, Turkey. FAU - Akdeniz, Aydan AU - Akdeniz A AUID- ORCID: 0000-0002-5160-4803 AD - Department of Hematology, Faculty of Medicine, Mersin University, Mersin, 33343, Turkey. FAU - Tiftik, Eyup Naci AU - Tiftik EN AUID- ORCID: 0000-0002-9009-7066 AD - Department of Hematology, Faculty of Medicine, Mersin University, Mersin, 33343, Turkey. FAU - Cavusoglu, Cagatay AU - Cavusoglu C AUID- ORCID: 0000-0003-4725-8095 AD - Department of Geriatrics, Sanliurfa Research & Training Hospital, Sanliurfa, 63190, Turkey. LA - eng PT - Journal Article DEP - 20211110 PL - England TA - Biomark Med JT - Biomarkers in medicine JID - 101312535 RN - 11056-06-7 (Bleomycin) RN - 5V9KLZ54CY (Vinblastine) RN - 7GR28W0FJI (Dacarbazine) RN - 80168379AG (Doxorubicin) SB - IM MH - Antineoplastic Combined Chemotherapy Protocols MH - Bleomycin/therapeutic use MH - Dacarbazine/therapeutic use MH - Doxorubicin/therapeutic use MH - *Hodgkin Disease/diagnostic imaging MH - Humans MH - Muscles/pathology MH - Neoplasm Staging MH - Positron Emission Tomography Computed Tomography MH - Prognosis MH - Vinblastine/therapeutic use OAB - Lay abstract Hodgkin's lymphoma is a cancer that responds well to standard treatments. However, the cancer recurs 30% of the time. Improved scoring systems could help better predict the outcomes of treatment. The 'International Prognostic Score' (IPS) system is an algorithm currently used to predict the possibility of death and treatment complications. In this study, low muscle mass is evaluated as data that could be added to the current scoring system to improve the system's ability to predict outcomes. Data from the scans of patients before and after treatment were used to determine the muscle mass. It was found that survival was significantly lower in patients with low muscle mass. This suggests that this information is highly effective in predicting the outcomes of Hodgkin's lymphoma patients. OABL- eng OTO - NOTNLM OT - Hodgkin's lymphoma OT - international prognostic score OT - low muscle mass OT - psoas muscle index OT - sarcopenia EDAT- 2021/11/11 06:00 MHDA- 2022/04/05 06:00 CRDT- 2021/11/10 05:25 PHST- 2021/11/11 06:00 [pubmed] PHST- 2022/04/05 06:00 [medline] PHST- 2021/11/10 05:25 [entrez] AID - 10.2217/bmm-2021-0696 [doi] PST - ppublish SO - Biomark Med. 2022 Feb;16(2):57-67. doi: 10.2217/bmm-2021-0696. Epub 2021 Nov 10.