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@ARTICLE{Luft:147216,
author = {T. Luft and A. Benner$^*$ and T. Terzer$^*$ and S. Jodele
and C. E. Dandoy and R. Storb and L. Kordelas and D. Beelen
and T. Gooley and B. M. Sandmaier and M. Sorror and M.
Zeisbrich and A. Radujkovic and P. Dreger and O. Penack},
title = {{EASIX} and mortality after allogeneic stem cell
transplantation.},
journal = {Bone marrow transplantation},
volume = {55},
number = {3},
issn = {0268-3369},
address = {London},
publisher = {Nature Publishing Group55086},
reportid = {DKFZ-2019-02342},
pages = {553-561},
year = {2020},
note = {2020 Mar;55(3):553-561},
abstract = {Allogeneic stem cell transplantation (alloSCT) is an
effective immunotherapy in patients with hematological
malignancies. Endothelial dysfunction was linked to major
complications after alloSCT. We asked the question if the
'Endothelial Activation and Stress Index' (EASIX;
[(creatinine × LDH) ÷ thrombocytes]) can predict
mortality after alloSCT. We performed a retrospective cohort
analysis in five alloSCT centers in the USA and Germany.
EASIX was assessed prior to conditioning (EASIX-pre) and
correlated with mortality in 755 patients of a training
cohort in multivariable models. The predictive model
established in the training cohort was validated in 1267
adult allo-recipients. Increasing EASIX-pre predicted lower
overall survival (OS) after alloSCT, and successful model
validation was achieved for the validation cohort. We found
that EASIX-pre predicts OS irrespective of established
scores. Moreover, EASIX-pre was also a significant
prognostic factor for transplant-associated microangiopathy.
Finally, EASIX-pre correlated with biomarkers of endothelial
homeostasis such as CXCL8, interleukin-18, and
insulin-like-growth-factor-1 serum levels. This study
establishes EASIX-pre based on a standard laboratory
biomarker panel as a predictor of individual risk of
mortality after alloSCT independently from established
clinical criteria.},
cin = {C060},
ddc = {610},
cid = {I:(DE-He78)C060-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:31558788},
doi = {10.1038/s41409-019-0703-1},
url = {https://inrepo02.dkfz.de/record/147216},
}