Incidence, consequences, and predictors of serious chemotherapy-induced thrombocytopenia in nasopharyngeal carcinoma

© 2023 The Authors. Cancer Medicine published by John Wiley & Sons Ltd..

OBJECTIVES: This study aimed to investigate the incidence, consequences, and predictors of serious chemotherapy-induced thrombocytopenia (CIT) in nasopharyngeal carcinoma (NPC).

MATERIALS AND METHODS: We retrospectively reviewed the clinical records of patients with NPC between 2013 and 2015. Multivariate Cox proportional hazards regression model and propensity score matching were used to estimate the effect of serious CIT on overall survival. Univariate and multivariate logistic regression analyses were applied to identify the predictors of serious CIT.

RESULTS AND CONCLUSION: The incidence of serious CIT was 5.21% in patients with NPC. Patients who experienced serious thrombocytopenia had a worse long-term prognosis, while the difference in short-term survival rate was slight. Chemotherapy regimens of gemcitabine and platinum, 5-fluorouracil and platinum, taxane and platinum, serum potassium ion concentration, serum lactate dehydrogenase levels, platelet count, red blood cell count, and estimated glomerular filtration rate were predictors of serious CIT.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Cancer medicine - 12(2023), 13 vom: 22. Juli, Seite 14084-14093

Sprache:

Englisch

Beteiligte Personen:

Zhang, Lu-Lu [VerfasserIn]
Chen, Xi [VerfasserIn]
Huang, Ying-Ying [VerfasserIn]
Liang, Chi-Xiong [VerfasserIn]
Qiang, Meng-Yun [VerfasserIn]
Cai, Zhuo-Chen [VerfasserIn]
Zhan, Ze-Jiang [VerfasserIn]
Deng, Ying [VerfasserIn]
Zhou, Jia-Yu [VerfasserIn]
Huang, Hao-Yang [VerfasserIn]
Guo, Xiang [VerfasserIn]
Lv, Xing [VerfasserIn]

Links:

Volltext

Themen:

49DFR088MY
Antineoplastic Agents
Chemotherapy
Journal Article
Nasopharyngeal carcinoma
Platinum
Predictor
Research Support, Non-U.S. Gov't
Thrombocytopenia

Anmerkungen:

Date Completed 24.07.2023

Date Revised 24.07.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1002/cam4.6062

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357149491