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Bone Marrow Transplant. 2015 Jan;50(1):100-5. doi: 10.1038/bmt.2014.228. Epub 2014 Oct 6.

Severe weight loss in 3 months after allogeneic hematopoietic SCT was associated with an increased risk of subsequent non-relapse mortality.

Author information

1
Division of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
2
Division of Hematology, Keio University Hospital, Tokyo, Japan.
3
Department of Medical Oncology, Tata Memorial Center, Mumbai, India.
4
Department of Nutrion Services, St Vincent's Hospital Sydney, Sydney, Australia.
5
Division of Hemato-oncology, Dongsan Medical Center, Keimyung University, Daegu, Korea.
6
Department of Hematology and Clinical Immunology, Kobe University, Kobe, Japan.

Abstract

Patients after allogeneic hematopoietic SCT (HSCT) are at risk of malnutrition. To assess the impact of malnutrition after allogeneic HSCT on transplant outcomes, we conducted a retrospective study. Adult patients who received allogeneic HSCT from 2000 to 2009 for standard-risk leukemia and achieved disease-free survival up to 3 months after allogeneic HSCT were included. From participating centers, 145 patients were enrolled. Median age was 46 years (19-68). Patients were classified based on weight loss during 3 months after allogeneic HSCT as follows: normal group (weight loss <5%, n=53), mild malnutrition group (5%⩽weight loss<10%, n=47), severe malnutrition group (10% ⩽weight loss, n=45). The cumulative incidences of 2-year nonrelapse mortality (NRM) were 3.8% in the normal group, 8.5% in the mild malnutrition group and 27.3% in the severe malnutrition group. The probabilities of a 2-year OS were 73.2% in the normal group, 74.5% in the mild malnutrition group and 55.3% in the severe malnutrition group. In multivariate analysis, severe malnutrition was associated with an increased risk of NRM and a worse OS. In conclusion, weight loss ⩾10% was associated with a worse clinical outcome. Prospective studies that identify patients at risk of malnutrition and intervention by a nutritional support team are warranted.

PMID:
25285803
DOI:
10.1038/bmt.2014.228
[Indexed for MEDLINE]

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