Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma

Abstract Treatment of patients with malignancy sometimes be delayed due to various reasons. Several studies revealed that an influence of diagnosis-to-treatment interval (DTI) on outcomes differs depending on the type of malignancy. In this study, we evaluated the influence of DTI on clinical outcom...

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Autores principales: Masahiro Yoshida, Yosuke Nakaya, Katsujun Shimizu, Naoko Tatsumi, Minako Tsutsumi, Hoyuri Fuseya, Mirei Horiuchi, Takuro Yoshimura, Yoshiki Hayashi, Takafumi Nakao, Takeshi Inoue, Takahisa Yamane
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/4bc35587960143248af35001577f9702
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spelling oai:doaj.org-article:4bc35587960143248af35001577f97022021-12-02T10:44:21ZImportance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma10.1038/s41598-021-82615-42045-2322https://doaj.org/article/4bc35587960143248af35001577f97022021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-82615-4https://doaj.org/toc/2045-2322Abstract Treatment of patients with malignancy sometimes be delayed due to various reasons. Several studies revealed that an influence of diagnosis-to-treatment interval (DTI) on outcomes differs depending on the type of malignancy. In this study, we evaluated the influence of DTI on clinical outcomes in newly diagnosed patients with diffuse large B-cell lymphoma (DLBCL). A total of 199 patients were identified with a median DTI of 22 days. At 2 years, patients with short DTI (0–22 days) showed significantly poorer OS (62.7% vs 86.4%) and PFS (55.1% vs 75.9%) compared to those with long DTI (over 22 days). Although short DTI was strongly correlated with several known adverse factors, it remained to be an independent prognostic factor by multivariate analysis. In conclusion, our study confirmed the importance of DTI in patients with DLBCL. Researchers should consider DTI as one of the important prognostic factors and plan clinical trials to be able to enroll patients with aggressive disease requiring urgent treatment.Masahiro YoshidaYosuke NakayaKatsujun ShimizuNaoko TatsumiMinako TsutsumiHoyuri FuseyaMirei HoriuchiTakuro YoshimuraYoshiki HayashiTakafumi NakaoTakeshi InoueTakahisa YamaneNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Masahiro Yoshida
Yosuke Nakaya
Katsujun Shimizu
Naoko Tatsumi
Minako Tsutsumi
Hoyuri Fuseya
Mirei Horiuchi
Takuro Yoshimura
Yoshiki Hayashi
Takafumi Nakao
Takeshi Inoue
Takahisa Yamane
Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma
description Abstract Treatment of patients with malignancy sometimes be delayed due to various reasons. Several studies revealed that an influence of diagnosis-to-treatment interval (DTI) on outcomes differs depending on the type of malignancy. In this study, we evaluated the influence of DTI on clinical outcomes in newly diagnosed patients with diffuse large B-cell lymphoma (DLBCL). A total of 199 patients were identified with a median DTI of 22 days. At 2 years, patients with short DTI (0–22 days) showed significantly poorer OS (62.7% vs 86.4%) and PFS (55.1% vs 75.9%) compared to those with long DTI (over 22 days). Although short DTI was strongly correlated with several known adverse factors, it remained to be an independent prognostic factor by multivariate analysis. In conclusion, our study confirmed the importance of DTI in patients with DLBCL. Researchers should consider DTI as one of the important prognostic factors and plan clinical trials to be able to enroll patients with aggressive disease requiring urgent treatment.
format article
author Masahiro Yoshida
Yosuke Nakaya
Katsujun Shimizu
Naoko Tatsumi
Minako Tsutsumi
Hoyuri Fuseya
Mirei Horiuchi
Takuro Yoshimura
Yoshiki Hayashi
Takafumi Nakao
Takeshi Inoue
Takahisa Yamane
author_facet Masahiro Yoshida
Yosuke Nakaya
Katsujun Shimizu
Naoko Tatsumi
Minako Tsutsumi
Hoyuri Fuseya
Mirei Horiuchi
Takuro Yoshimura
Yoshiki Hayashi
Takafumi Nakao
Takeshi Inoue
Takahisa Yamane
author_sort Masahiro Yoshida
title Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma
title_short Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma
title_full Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma
title_fullStr Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma
title_full_unstemmed Importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large B-cell lymphoma
title_sort importance of diagnosis-to-treatment interval in newly diagnosed patients with diffuse large b-cell lymphoma
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/4bc35587960143248af35001577f9702
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