1. Decreased platelet distribution width predicts a worse prognosis in patients undergoing surgical resection for hepatocellular carcinoma
- Author
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Rui-tao Wang, Zhi-Yuan Yun, Na Li, Yu-Xi Liu, Chang-Jiu Zhao, and Chen-xi Yue
- Subjects
Adult ,Blood Platelets ,Male ,Cancer Research ,medicine.medical_specialty ,Carcinoma, Hepatocellular ,Time Factors ,Cirrhosis ,Kaplan-Meier Estimate ,Gastroenterology ,Young Adult ,Predictive Value of Tests ,Internal medicine ,Genetics ,Hepatectomy ,Humans ,Medicine ,0501 psychology and cognitive sciences ,Platelet activation ,Survival analysis ,Aged ,Retrospective Studies ,0505 law ,business.industry ,Proportional hazards model ,Liver Neoplasms ,05 social sciences ,Hazard ratio ,Platelet Distribution Width ,General Medicine ,Middle Aged ,Platelet Activation ,Prognosis ,medicine.disease ,Confidence interval ,Survival Rate ,Treatment Outcome ,Liver ,ROC Curve ,Oncology ,Hepatocellular carcinoma ,Preoperative Period ,050501 criminology ,Feasibility Studies ,Female ,business ,Mean Platelet Volume ,Follow-Up Studies ,050104 developmental & child psychology - Abstract
Background Hepatocellular carcinoma (HCC) is the sixth most common malignant tumor and second most common cause of tumor-related deaths worldwide. Activated platelets play a prominent role in tumor. Platelet distribution width (PDW) indicates platelets activation and is altered in malignancies. The aim of this study was to explore the prognostic value of PDW for overall survival (OS) in HCC patients. Methods We retrospectively reviewed 273 HCC patients at a single institution from 2010 to 2014. The relationship between PDW and clinicopathological characteristics was analyzed. Kaplan-Meier curves and multivariate Cox regression analyses were used to evaluate the relationship of PDW with OS. Results Low PDW levels were observed in 127 (46.5%) out of 273 patients. A significant correlation was found between PDW and liver cirrhosis. Median follow-up was 36 months, survival curves revealed that the patients with increased PDW had significantly shorter survival time than those with normal PDW (p= 0.001). Cox regression analysis demonstrated that PDW was an independent prognostic factor for overall survival (hazard ratio, 2.464; 95% confidence interval [CI], 1.402-4.330, p= 0.001). Conclusion PDW is significantly associated with OS in HCC. This result suggests activated platelet may affect clinical outcome and warrant continued investigation.
- Published
- 2019
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