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oai:repisalud.isciii.es:20.500.12105/230032024-11-29T00:26:59Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Herraez Balanzat, Ines author Bento, Leyre author del Campo Garcia, Raquel author Sas-Barbeito, Adriana author Ramos-Asensio, Rafael author Fernandez, Teresa author Mestre, Francesc author Alemany, Regina author Bargay Lleonart, Joan author Sampol Mayol, Antonia author Gutierrez, Antonio author 2020-11 Simple Summary The red blood cell distribution width (RDW) increases in inflammatory conditions and is described as having a prognostic role in different types of cancer. As Hodgkin lymphoma (HL) has a proinflammatory background, we aim to study the prognostic role of RDW in HL. We report in a large retrospective series of homogenously treated HL, for the first time, that RDW is a simple, cheap, and easily available prognostic factor in HL, that identifies a group with worse EFS, OS, and a higher potential incidence of secondary malignancies. RDW seems to be related to most adverse prognostic factors in HL and this may make RDW a good candidate to be included in current or new prognostic scores for HL. The red blood cell distribution width (RDW) is a parameter available from an automated blood count, which measures the degree of heterogeneity of erythrocyte volume and increases in inflammatory conditions. The prognostic role of RDW has been described in different types of cancers. Hodgkin lymphoma (HL) is a hematological malignancy, known to have a proinflammatory background. We aim to study the prognostic role of RDW in HL. We retrospectively analyzed 264 patients with HL from two hospitals in the Balearic Islands between 1990 and 2018. Higher levels of RDW were independently related to anemia, B-symptoms, and low albumin. In age >= 45 years, the presence of lymphopenia and higher RDW were independently associated with worse event-free survival (EFS) and overall survival (OS). Long-term incidence of secondary malignancies was significantly higher in patients with higher RDW, particularly lung cancer. In conclusion, we report for the first time that RDW is a simple, cheap, and easily available prognostic factor in HL that identifies a group with worse EFS, OS, and a higher potential incidence of secondary malignancies. RDW seems to be related to most adverse prognostic factors in HL, making RDW an excellent candidate to be included in prognostic scores for HL. Herraez I, Bento L, Del Campo R, Sas A, Ramos R, Ibarra J, et al. Prognostic Role of the Red Blood Cell Distribution Width (RDW) in Hodgkin Lymphoma. Cancers. 2020 Nov;12(11):3262. http://hdl.handle.net/20.500.13003/17615 https://hdl.handle.net/20.500.12105/23003 33158258 10.3390/cancers12113262 2072-6694 Cancers 2-s2.0-85095769855 592987300001 L2005417608 Hodgkin lymphoma RDW Risk factors Survival Secondary malignancies Prognostic Role of the Red Blood Cell Distribution Width (RDW) in Hodgkin Lymphoma