Glucocorticoid-induced diabetes mellitus in patients with lymphoma treated with CHOP chemotherapy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-05

AUTHORS

Suk-young Lee, Naoki Kurita, Yasuhisa Yokoyama, Masanori Seki, Yuichi Hasegawa, Yasushi Okoshi, Shigeru Chiba

ABSTRACT

PURPOSE: Glucocorticoid-induced diabetes mellitus (GDM) is a major complication arising from corticosteroid administration, but there is lack of studies on GDM attributing to CHOP chemotherapy. We studied the incidence and risk factors for GDM development in patients with lymphoma during CHOP chemotherapy. METHODS: We analyzed 80 patients with lymphoma treated with a CHOP regimen with or without rituximab between 2004 and 2012 at the University of Tsukuba hospital. Patients with a known history of DM were excluded. Diagnosis of DM was performed according to the American Diabetes Association's criteria. RESULTS: Among the 80 patients, 26 (32.5 %) developed GDM. We found that age ≥ 60 years, glycated hemoglobin (HbA1c) levels >6.1 %, body mass index (BMI) >30 kg/m(2), prednisolone administration prior to chemotherapy, history of hypertension or hypertension at admission, and the presence of metabolic syndrome were significant (p ≤ 0.05) factors associated with GDM development by univariate analysis. Multivariate analysis revealed that age ≥ 60 years [p<0.05; hazard ratio (HR)=3.59; 95 % confidence interval (CI), 1.22-10.51], HbA1c levels >6.1 % (p<0.05; HR=9.35; 95%CI, 1.45-60.34), and BMI >30 kg/m(2) (p=0.052; HR=6.27; 95%CI, 0.98-40.00) were independently significant association factors. CONCLUSION: The results suggest a guideline for plasma glucose monitoring during CHOP chemotherapy in patients with no history of DM. More... »

PAGES

1385-1390

References to SciGraph publications

  • 2011-11. Forming functional fat: a growing understanding of adipocyte differentiation in NATURE REVIEWS MOLECULAR CELL BIOLOGY
  • 1996-06. Dietary fats and insulin action in DIABETOLOGIA
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    http://scigraph.springernature.com/pub.10.1007/s00520-013-2097-8

    DOI

    http://dx.doi.org/10.1007/s00520-013-2097-8

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1033187188

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/24362844


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        "description": "PURPOSE: Glucocorticoid-induced diabetes mellitus (GDM) is a major complication arising from corticosteroid administration, but there is lack of studies on GDM attributing to CHOP chemotherapy. We studied the incidence and risk factors for GDM development in patients with lymphoma during CHOP chemotherapy.\nMETHODS: We analyzed 80 patients with lymphoma treated with a CHOP regimen with or without rituximab between 2004 and 2012 at the University of Tsukuba hospital. Patients with a known history of DM were excluded. Diagnosis of DM was performed according to the American Diabetes Association's criteria.\nRESULTS: Among the 80 patients, 26 (32.5 %) developed GDM. We found that age \u2265 60 years, glycated hemoglobin (HbA1c) levels >6.1 %, body mass index (BMI) >30 kg/m(2), prednisolone administration prior to chemotherapy, history of hypertension or hypertension at admission, and the presence of metabolic syndrome were significant (p \u2264 0.05) factors associated with GDM development by univariate analysis. Multivariate analysis revealed that age \u2265 60 years [p<0.05; hazard ratio (HR)=3.59; 95 % confidence interval (CI), 1.22-10.51], HbA1c levels >6.1 % (p<0.05; HR=9.35; 95%CI, 1.45-60.34), and BMI >30 kg/m(2) (p=0.052; HR=6.27; 95%CI, 0.98-40.00) were independently significant association factors.\nCONCLUSION: The results suggest a guideline for plasma glucose monitoring during CHOP chemotherapy in patients with no history of DM.", 
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