PMID- 35419733 OWN - NLM STAT- MEDLINE DCOM- 20220530 LR - 20220531 IS - 1433-7339 (Electronic) IS - 0941-4355 (Linking) VI - 30 IP - 7 DP - 2022 Jul TI - Combined analysis of clinical and laboratory markers to predict the risk of venous thromboembolism in patients with IDH1 wild-type glioblastoma. PG - 6063-6069 LID - 10.1007/s00520-022-07050-1 [doi] AB - PURPOSE: We have combined analysis of clinical and laboratory markers to try to find an optimal model to predict venous thromboembolism in isocitrate dehydrogenase 1 (IDH1) wild-type glioblastoma (GBM) by a prospective research. METHODS: Patients with newly histologically confirmed IDH1 wild-type (IDH1wt) GBM were recruited for this study. Status of IDH1, PTEN, P53, BRAF, MGMT promoter methylation (MGMTp), and TERT promoter (TERTp) was determined using genetic sequencing through polymerase chain reaction (PCR). Amplification of EGFR was established through fluorescence in situ hybridization (FISH). Competing risk regression model was performed to calculate the risk of VTE. Clinical and laboratory parameters that were independently predicted risk of VTE were used to develop a risk assessment model (RAM). RESULTS: One hundred thirty-one patients with IDH1wt GBM were included in the present analysis. A total of 48/131 patients (36.6%) developed VTE. D-dimer, ECOG score, and EGFR amplification were suggested to be significantly associated with the VTE risk in multivariable analysis. High ECOG score (>2), high D-dimer (>1.6 mug/ml), and EGFR amplification were used as the strongest independent predictors of increased risk of VTE. The cumulative incidence of VTE was 17.2% for patients with score 0 (n =29), 23.6% for patients with score 1 (n =55), and 63.8% for patients with score 2 (n = 35) or score 3 (n = 12) by application of a RAM. CONCLUSIONS: In IDH1wt GBM patients, by applying a VTE risk assessment model, we could identify patients with a very high and low risk of VTE. CI - (c) 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Huang, Yong AU - Huang Y AD - Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Shuiguohu street, 168 Donghu road, Wuhan, Hubei, China. AD - Hubei Cancer Clinical Study Center, Wuhan University, Wuhan, Hubei, China. FAU - Ding, Haixia AU - Ding H AD - Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Shuiguohu street, 168 Donghu road, Wuhan, Hubei, China. AD - Hubei Cancer Clinical Study Center, Wuhan University, Wuhan, Hubei, China. FAU - Luo, Min AU - Luo M AD - Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Shuiguohu street, 168 Donghu road, Wuhan, Hubei, China. AD - Hubei Cancer Clinical Study Center, Wuhan University, Wuhan, Hubei, China. FAU - Li, Sirui AU - Li S AD - Department of Radiology, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, China. FAU - Xie, Conghua AU - Xie C AD - Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Shuiguohu street, 168 Donghu road, Wuhan, Hubei, China. AD - Hubei Cancer Clinical Study Center, Wuhan University, Wuhan, Hubei, China. FAU - Zhong, Yahua AU - Zhong Y AUID- ORCID: 0000-0003-2573-1080 AD - Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Shuiguohu street, 168 Donghu road, Wuhan, Hubei, China. doctorzyh73@163.com. AD - Hubei Cancer Clinical Study Center, Wuhan University, Wuhan, Hubei, China. doctorzyh73@163.com. FAU - Li, Zhiqiang AU - Li Z AD - Department of Neurosurgery, Zhongnan Hospital, Wuhan University, Wuhan, Hubei, China. LA - eng PT - Journal Article DEP - 20220413 PL - Germany TA - Support Care Cancer JT - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer JID - 9302957 RN - 0 (Biomarkers) RN - EC 1.1.1.41 (Isocitrate Dehydrogenase) RN - EC 1.1.1.42. (IDH1 protein, human) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Biomarkers MH - *Brain Neoplasms/pathology MH - ErbB Receptors/genetics MH - *Glioblastoma/pathology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Isocitrate Dehydrogenase/genetics MH - Mutation MH - Prospective Studies MH - *Venous Thromboembolism/etiology/genetics OTO - NOTNLM OT - Glioblastoma OT - Markers OT - Risk assessment model OT - Venous thromboembolism EDAT- 2022/04/15 06:00 MHDA- 2022/05/31 06:00 CRDT- 2022/04/14 05:23 PHST- 2021/07/14 00:00 [received] PHST- 2022/04/06 00:00 [accepted] PHST- 2022/04/15 06:00 [pubmed] PHST- 2022/05/31 06:00 [medline] PHST- 2022/04/14 05:23 [entrez] AID - 10.1007/s00520-022-07050-1 [pii] AID - 10.1007/s00520-022-07050-1 [doi] PST - ppublish SO - Support Care Cancer. 2022 Jul;30(7):6063-6069. doi: 10.1007/s00520-022-07050-1. Epub 2022 Apr 13.