Gait speed, grip strength, and clinical outcomes in older patients with hematologic malignancies.

Abstract:

:This study aimed to evaluate whether gait speed and grip strength predicted clinical outcomes among older adults with blood cancers. We prospectively recruited 448 patients aged 75 years and older presenting for initial consultation at the myelodysplastic syndrome/leukemia, myeloma, or lymphoma clinic of a large tertiary hospital, who agreed to assessment of gait and grip. A subset of 314 patients followed for ≥6 months at local institutions was evaluated for unplanned hospital or emergency department (ED) use. We used Cox proportional hazard models calculated hazard ratios (HRs) and 95% confidence intervals (CIs) for survival, and logistic regression to calculate odds ratios (ORs) for hospital or ED use. Mean age was 79.7 (± 4.0 standard deviation) years. After adjustment for age, sex, Charlson comorbidity index, cognition, treatment intensity, and cancer aggressiveness/type, every 0.1-m/s decrease in gait speed was associated with higher mortality (HR, 1.20; 95% CI, 1.12-1.29), odds of unplanned hospitalizations (OR, 1.33; 95% CI, 1.16-1.51), and ED visits (OR, 1.34; 95% CI, 1.17-1.53). Associations held among patients with good Eastern Cooperative Oncology Group performance status (0 or 1). Every 5-kg decrease in grip strength was associated with worse survival (adjusted HR, 1.24; 95% CI, 1.07-1.43) but not hospital or ED use. A model with gait speed and all covariates had comparable predictive power to comprehensive validated frailty indexes (phenotype and cumulative deficit) and all covariates. In summary, gait speed is an easily obtained "vital sign" that accurately identifies frailty and predicts outcomes independent of performance status among older patients with blood cancers.

journal_name

Blood

journal_title

Blood

authors

Liu MA,DuMontier C,Murillo A,Hshieh TT,Bean JF,Soiffer RJ,Stone RM,Abel GA,Driver JA

doi

10.1182/blood.2019000758

subject

Has Abstract

pub_date

2019-07-25 00:00:00

pages

374-382

issue

4

eissn

0006-4971

issn

1528-0020

pii

blood.2019000758

journal_volume

134

pub_type

杂志文章

相关文献

BLOOD文献大全
  • Widespread and dynamic translational control of red blood cell development.

    abstract::Cell development requires tight yet dynamic control of protein production. Here, we use parallel RNA and ribosome profiling to study translational regulatory dynamics during murine terminal erythropoiesis. Our results uncover pervasive translational control of protein synthesis, with widespread alternative translation...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2016-09-741835

    authors: Alvarez-Dominguez JR,Zhang X,Hu W

    更新日期:2017-02-02 00:00:00

  • Evidence for a role of glycoprotein IIb-IIIa, distinct from its ability to support aggregation, in platelet activation by ionophores in the presence of extracellular divalent cations.

    abstract::Ionophore A23187-induced 14C-serotonin secretion and thromboxane B2(TxB2) formation were found to be absent in citrated platelet-rich plasma (PRP) from thrombasthenic subjects and in normal PRP treated with glycoprotein (GP) IIb-IIIa complex-specific monoclonal antibodies. Both responses were restored to normal levels...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Lages B,Weiss HJ

    更新日期:1994-05-01 00:00:00

  • Induction of unscheduled DNA synthesis in human bone marrow cells by bifunctional alkylating agents.

    abstract::A technique has been developed for handling human bone marrow cells intended for the examination of DNA repair synthesis. DNA-repair synthesis, induced by melphalan and nitrogen mustard, was measured as the incorporation of 3H-thymidine, registered by autoradiography as unscheduled DNA synthesis (UDS). Comparison of v...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Lewensohn R,Ringborg U

    更新日期:1979-12-01 00:00:00

  • Prognostic significance of immunohistochemical biomarkers in diffuse large B-cell lymphoma: a study from the Lunenburg Lymphoma Biomarker Consortium.

    abstract::The Lunenburg Lymphoma Biomarker Consortium (LLBC) evaluated the prognostic value of IHC biomarkers in a large series of patients with diffuse large B-cell lymphoma (DLBCL). Clinical data and tumor samples were retrieved from 12 studies from Europe and North America, with patients treated before or after the rituximab...

    journal_title:Blood

    pub_type: 杂志文章,随机对照试验

    doi:10.1182/blood-2011-04-345256

    authors: Salles G,de Jong D,Xie W,Rosenwald A,Chhanabhai M,Gaulard P,Klapper W,Calaminici M,Sander B,Thorns C,Campo E,Molina T,Lee A,Pfreundschuh M,Horning S,Lister A,Sehn LH,Raemaekers J,Hagenbeek A,Gascoyne RD,Weller E

    更新日期:2011-06-30 00:00:00

  • L-arginine availability regulates T-lymphocyte cell-cycle progression.

    abstract::L-arginine (L-Arg) plays a central role in several biologic systems including the regulation of T-cell function. L-Arg depletion by myeloid-derived suppressor cells producing arginase I is seen in patients with cancer inducing T-cell anergy. We studied how L-Arg starvation could regulate T-cell-cycle progression. Stim...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2006-06-031856

    authors: Rodriguez PC,Quiceno DG,Ochoa AC

    更新日期:2007-02-15 00:00:00

  • Functions of idh1 and its mutation in the regulation of developmental hematopoiesis in zebrafish.

    abstract::Isocitrate dehydrogenase 1 mutation (IDH1-R132H) was recently identified in acute myeloid leukemia with normal cytogenetics. The mutant enzyme is thought to convert α-ketoglutarate to the pathogenic 2-hydroxyglutarate (2-HG) that affects DNA methylation via inhibition of ten-eleven translocation 2. However, the role o...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2014-09-601187

    authors: Shi X,He BL,Ma AC,Guo Y,Chi Y,Man CH,Zhang W,Zhang Y,Wen Z,Cheng T,Leung AY

    更新日期:2015-05-07 00:00:00

  • Role of arginine residues in the coagulant activity of high molecular weight kininogen.

    abstract::High molecular weight (HMW) kininogen, the cofactor for activation of the contact system of plasma proteolysis, transports and optimally positions prekallikrein and factor XI on a negatively charged surface, allowing those zymogens to be activated by surface-bound factor XIIa. HMW kininogen circulates in plasma as a p...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Chang JJ,Scott CF,Colman RW

    更新日期:1986-03-01 00:00:00

  • Human platelets exert cytotoxic effects on tumor cells.

    abstract::Monocytes are thought to play a role in host resistance to tumor cell growth in animals and humans. In addition, platelets are known to be involved in tumor metastases. To investigate the interaction of these two cell types and their effect on tumor cells, human monocytes and platelets were examined using an in vitro ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Ibele GM,Kay NE,Johnson GJ,Jacob HS

    更新日期:1985-05-01 00:00:00

  • Control of regulatory T cells is necessary for vaccine-like effects of antiviral immunotherapy by monoclonal antibodies.

    abstract::Regulatory T cells (Tregs) down-regulate immunity and are associated with chronic viral infections, suggesting that their inhibition might be used to treat life-threatening diseases. Using the FrCasE mouse retroviral model, we have recently shown that short mAb-based immunotherapies can induce life-long protective imm...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2012-06-432153

    authors: Nasser R,Pelegrin M,Plays M,Gros L,Piechaczyk M

    更新日期:2013-02-14 00:00:00

  • Mast cells are crucial for early inflammation, migration of Langerhans cells, and CTL responses following topical application of TLR7 ligand in mice.

    abstract::Until recently, IgE-activated mast cells have been regarded merely as effector cells of adaptive immune responses, involved in allergic reactions and mucosal immunity to parasites. Herein, we report that murine dermal mast cells, activated by local administration of a cream containing the synthetic TLR7 ligand imiquim...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2006-07-036889

    authors: Heib V,Becker M,Warger T,Rechtsteiner G,Tertilt C,Klein M,Bopp T,Taube C,Schild H,Schmitt E,Stassen M

    更新日期:2007-08-01 00:00:00

  • The high-affinity human IgG receptor FcγRI (CD64) promotes IgG-mediated inflammation, anaphylaxis, and antitumor immunotherapy.

    abstract::Receptors for the Fc portion of IgG (FcγRs) are mandatory for the induction of various IgG-dependent models of autoimmunity, inflammation, anaphylaxis, and cancer immunotherapy. A few FcγRs have the ability to bind monomeric IgG: high-affinity mouse mFcγRI, mFcγRIV, and human hFcγRI. All others bind IgG only when aggr...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2012-07-442541

    authors: Mancardi DA,Albanesi M,Jönsson F,Iannascoli B,Van Rooijen N,Kang X,England P,Daëron M,Bruhns P

    更新日期:2013-02-28 00:00:00

  • Imatinib and plasmacytoid dendritic cell function in patients with chronic myeloid leukemia.

    abstract::Plasmacytoid dendritic cells (PDCs) are crucial effectors in innate immunity. In this study, we show that imatinib, a potent inhibitor of BCR/ABL tyrosine kinase activity, in the presence of Flt3-Ligand, could induce CD34+ progenitors from chronic myeloid leukemia (CML) to give rise in vitro to typical BDCA-2+ type I ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2003-09-3220

    authors: Mohty M,Jourdan E,Mami NB,Vey N,Damaj G,Blaise D,Isnardon D,Olive D,Gaugler B

    更新日期:2004-06-15 00:00:00

  • Potentiation of the erythropoietin response by dimethyl sulfoxide priming of erythroleukemia cells: evidence for interaction of two signaling pathways.

    abstract::Erythropoietin (Epo) and dimethyl sulfoxide (DMSO) are believed to induce the differentiation of transformed erythroid cells by different signal transduction pathways. We have now obtained evidence for the interaction of these pathways. We used a Rauscher murine erythroleukemia cell line with a relatively low (8% to 1...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Chern Y,Yonekura S,Sytkowski AJ

    更新日期:1990-12-01 00:00:00

  • Biphenotypic B-lymphoid/myeloid cells expressing low levels of Pax5: potential targets of BAL development.

    abstract::The expression of Pax5 commits common lymphoid progenitor cells to B-lymphoid lineage differentiation. Little is known of possible variations in the levels of Pax5 expression and their influences on hematopoietic development. We have developed a retroviral transduction system that allows for the study of possible inte...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2012-03-414821

    authors: Simmons S,Knoll M,Drewell C,Wolf I,Mollenkopf HJ,Bouquet C,Melchers F

    更新日期:2012-11-01 00:00:00

  • Platelet-derived growth factor (PDGF)-PDGF receptor interaction activates bone marrow-derived mesenchymal stromal cells derived from chronic lymphocytic leukemia: implications for an angiogenic switch.

    abstract::Malignant cells are capable of influencing the microenvironment in a manner that facilitates tumor cell survival. Bidirectional crosstalk between chronic lymphocytic leukemic (CLL) cells and marrow-derived mesenchymal stromal cells (MSCs) activates both cell types. In this study, we observed that the conditioned mediu...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2010-02-269894

    authors: Ding W,Knox TR,Tschumper RC,Wu W,Schwager SM,Boysen JC,Jelinek DF,Kay NE

    更新日期:2010-10-21 00:00:00

  • Rabaptin-5 is a novel fusion partner to platelet-derived growth factor beta receptor in chronic myelomonocytic leukemia.

    abstract::Chromosomal translocations involving the platelet-derived growth factor beta receptor (PDGFbetaR) gene have been reported in some patients with chronic myelomonocytic leukemia (CMML). The resultant fusion proteins have constitutive PDGFbetaR tyrosine kinase activity, but the partner genes previously reported (tel, Hun...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v98.8.2518

    authors: Magnusson MK,Meade KE,Brown KE,Arthur DC,Krueger LA,Barrett AJ,Dunbar CE

    更新日期:2001-10-15 00:00:00

  • Effects of interleukin-3 and erythropoietin on in vivo erythropoiesis and F-cell formation in primates.

    abstract::To test the in vivo cooperativity between interleukin-3 (IL-3) and erythropoietin (Epo) in stimulating erythropoiesis and hemoglobin F (HbF) production in primates, we administered recombinant human IL-3 and recombinant human Epo to baboons and macaques. The effect of these treatments was assessed by serial bone marro...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Umemura T,al-Khatti A,Donahue RE,Papayannopoulou T,Stamatoyannopoulos G

    更新日期:1989-10-01 00:00:00

  • Biologic sequelae of nuclear factor-kappaB blockade in multiple myeloma: therapeutic applications.

    abstract::The transcription factor nuclear factor-kappaB (NF-kappaB) confers significant survival potential in a variety of tumors. Several established or novel anti-multiple myeloma (anti-MM) agents, such as dexamethasone, thalidomide, and proteasome inhibitors (PS-341), inhibit NF-kappaB activity as part of their diverse acti...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood.v99.11.4079

    authors: Mitsiades N,Mitsiades CS,Poulaki V,Chauhan D,Richardson PG,Hideshima T,Munshi N,Treon SP,Anderson KC

    更新日期:2002-06-01 00:00:00

  • The CD28 family: a T-cell rheostat for therapeutic control of T-cell activation.

    abstract::The CD28 family of receptors (CD28, cytotoxic T-lymphocyte-associated antigen 4 [CTLA-4], inducible costimulator [ICOS], program death-1 [PD-1], and B- and T-lymphocyte attenuator [BTLA]) plays a critical role in controlling the adaptive arm of the immune response. While considerable information is available regarding...

    journal_title:Blood

    pub_type: 杂志文章,评审

    doi:10.1182/blood-2004-04-1596

    authors: Riley JL,June CH

    更新日期:2005-01-01 00:00:00

  • Treatment of non-obese diabetic (NOD)/Severe-combined immunodeficient mice (SCID) with flt3 ligand and interleukin-7 impairs the B-lineage commitment of repopulating cells after transplantation of human hematopoietic cells.

    abstract::Until recently, the identification of cellular factors that govern the developmental program of human stem cells has been difficult due to the absence of repopulation assays that detect human stem cells. The transplantation of human bone marrow (BM) or cord blood (CB) into non-obese diabetic (NOD)/severe-combined immu...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Kapp U,Bhatia M,Bonnet D,Murdoch B,Dick JE

    更新日期:1998-09-15 00:00:00

  • B-Raf-dependent expression of vascular endothelial growth factor-A in Kaposi sarcoma-associated herpesvirus-infected human B cells.

    abstract::Kaposi sarcoma-associated herpesvirus/human herpesvirus 8 (KSHV/HHV-8) is etiologically linked to Kaposi sarcoma (KS), primary effusion lymphoma (PEL), and multicentric Castleman disease. Vascular endothelial growth factor-A (VEGF-A) is one of the essential factors required in KSHV pathogenesis, mainly due to its abil...

    journal_title:Blood

    pub_type: 杂志文章

    doi:10.1182/blood-2004-09-3683

    authors: Akula SM,Ford PW,Whitman AG,Hamden KE,Bryan BA,Cook PP,McCubrey JA

    更新日期:2005-06-01 00:00:00

  • Intracellular storage and regulated plasma membrane expression of human complement receptor type 1 in rat basophil leukemia cell transfectants.

    abstract::Polymorphonuclear neutrophils (PMN) contain multiple distinct secretory compartments that are sequentially mobilized during cell activation. Complement receptor type 1 (CR1) is a marker for a readily mobilizable secretory vesicle compartment, which can undergo exocytic fusion with the plasma membrane independently of ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Jost C,Klickstein L,Wetzler E,Kumar A,Berger M

    更新日期:1998-07-01 00:00:00

  • Biotherapy for xenografted human central nervous system leukemia in mice with severe combined immunodeficiency using B43 (anti-CD19)-pokeweed antiviral protein immunotoxin.

    abstract::The study of central nervous system (CNS) leukemia has been hampered by the lack of a suitable animal model. We report that severe combined immunodeficiency (SCID) mice invariably develop rapidly progressive fatal CNS leukemia within 3 weeks after intravenous injection of NALM-6 pre-B acute lymphoblastic leukemia (ALL...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Gunther R,Chelstrom LM,Tuel-Ahlgren L,Simon J,Myers DE,Uckun FM

    更新日期:1995-05-01 00:00:00

  • All-trans retinoic acid in acute promyelocytic leukemia: long-term outcome and prognostic factor analysis from the North American Intergroup protocol.

    abstract::We previously reported a benefit for all-trans retinoic acid (ATRA) in both induction and maintenance therapy in patients with acute promyelocytic leukemia (APL). To determine the durability of this benefit and identify important prognostic factors, long-term follow-up of the North American Intergroup APL trial is rep...

    journal_title:Blood

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1182/blood-2002-02-0632

    authors: Tallman MS,Andersen JW,Schiffer CA,Appelbaum FR,Feusner JH,Woods WG,Ogden A,Weinstein H,Shepherd L,Willman C,Bloomfield CD,Rowe JM,Wiernik PH

    更新日期:2002-12-15 00:00:00

  • Prevalence of heterozygotes for hemochromatosis in the white population of the United States.

    abstract::In previous studies, the prevalence of HLA-linked hemochromatosis, thought to be the most common genetic illness in whites, has been estimated by identifying homozygotes in the population. Because not all homozygotes express the disease phenotypically, the accuracy of these estimates is uncertain. We analyzed the dist...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: McLaren CE,Gordeuk VR,Looker AC,Hasselblad V,Edwards CQ,Griffen LM,Kushner JP,Brittenham GM

    更新日期:1995-09-01 00:00:00

  • Therapy of severe aplastic anemia with anti-human thymocyte globulin and androgens: the effect of HLA-haploidentical marrow infusion.

    abstract::Fifty-four patients with severe aplastic anemia were treated with horse anti-human thymocyte globulin (ATG) and androgens. Thirty of these patients also received an infusion of HLA-haploidentical marrow cells. Only those patients having evidence of hematologic recovery within 3 mo after ATG therapy were considered res...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Doney K,Dahlberg SJ,Monroe D,Storb R,Buckner CD,Thomas ED

    更新日期:1984-02-01 00:00:00

  • FGFR2 genotype and risk of radiation-associated breast cancer in Hodgkin lymphoma.

    abstract::Women treated at young ages with supradiaphragmatic radiotherapy for Hodgkin lymphoma (HL) have a highly increased risk of breast cancer. For personalized advice and follow-up regimens for patients, information is needed on how the radiotherapy-related risk is affected by other breast cancer risk factors. Genome-wide ...

    journal_title:Blood

    pub_type: 杂志文章,meta分析

    doi:10.1182/blood-2011-10-383380

    authors: Ma YP,van Leeuwen FE,Cooke R,Broeks A,Enciso-Mora V,Olver B,Lloyd A,Broderick P,Russell NS,Janus C,Ashworth A,Houlston RS,Swerdlow AJ

    更新日期:2012-01-26 00:00:00

  • Ferritin iron absorption in man.

    abstract::The iron absorption from ferritin and hemosiderin biosynthetically labeled with radioiron was studied in 108 subjects. The geometric mean absorption of ferritin iron in both normal and iron-deficient subjects was 1.9 percent. Its mean absorption ranged from 0.9 percent in normal subjects to 2.5 percent in subjects wit...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Layrisse M,Martínez-Torres C,Renzy M,Leets I

    更新日期:1975-05-01 00:00:00

  • Age-dependent amelioration of hypoplastic anemia in Ws/Ws rats with a small deletion at the kinase domain of c-kit.

    abstract::The white-spotting (Ws) locus of rats represents a 12-base deletion of the c-kit receptor tyrosine kinase. Homozygous Ws/Ws rats are deficient in melanocytes, mast cells, and erythrocytes. Although mice possessing two mutant alleles at the c-kit (W) locus, such as mice of W/Wv genotype, show severe anemia even in adul...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Morimoto M,Kasugai T,Tei H,Jippo-Kanemoto T,Kanakura Y,Kitamura Y

    更新日期:1993-12-01 00:00:00

  • p53 overexpression as a marker of poor prognosis in mantle cell lymphomas with t(11;14)(q13;q32).

    abstract::The t(11;14)(q13;q32) translocation, which juxtaposes the BCL1 oncogene with the Ig heavy chain locus, has been associated with an uncommon subtype of non-Hodgkin's lymphoma (NHL) termed mantle cell lymphoma (MCL). To date, no molecular marker that serves as an indicator of tumor progression or clinical prognosis has ...

    journal_title:Blood

    pub_type: 杂志文章

    doi:

    authors: Louie DC,Offit K,Jaslow R,Parsa NZ,Murty VV,Schluger A,Chaganti RS

    更新日期:1995-10-15 00:00:00