2026-04-27T08:02:36Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/230032024-11-29T00:26:59Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud
author
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
2024-09-13T09:15:47Z
2024-09-13T09:15:47Z
2020-11
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
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.
eng
Hodgkin lymphoma
RDW
Risk factors
Survival
Secondary malignancies
Prognostic Role of the Red Blood Cell Distribution Width (RDW) in Hodgkin Lymphoma
research article