Development of Hepatic Steatosis After Chemotherapy for Non-Hodgkin Lymphoma. (Record no. 4145)

MARC details
000 -LEADER
fixed length control field 02982nam a22003497a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 190314s20192019 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 2471-254X
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code 10.1002/hep4.1304 [doi]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code HEP41304 [pii]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC6357828 [pmc]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 30766960
245 ## - TITLE STATEMENT
Title Development of Hepatic Steatosis After Chemotherapy for Non-Hodgkin Lymphoma.
251 ## - Source
Source Hepatology Communications. 3(2):220-226, 2019 Feb.
252 ## - Abbreviated Source
Abbreviated source Hepatol. commun.. 3(2):220-226, 2019 Feb.
253 ## - Journal Name
Journal name Hepatology communications
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2019
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2019
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
266 ## - Date added to catalog
Date added to catalog 2019-03-14
520 ## - SUMMARY, ETC.
Abstract Nonalcoholic fatty liver disease is the most common liver disorder in the developed world. Although typically reflecting caloric overload, it can also be secondary to drug toxicity. We aimed to describe the incidence and risk factors for de novo steatosis during chemotherapy for non-Hodgkin lymphoma (NHL). In this retrospective case-control study, adult patients with NHL were treated with rituximab, cyclophosphamide, doxorubicin, prednisone, and vincristine (R-CHOP) or R-CHOP + etoposide (EPOCH-R). Patients with liver disease or steatosis were excluded. Abdominal computed tomography was performed pretreatment and at 3- to 6-month intervals and reviewed for steatosis. Patients with de novo steatosis were matched 1:1 to controls by age, sex, and ethnicity. Of 251 treated patients (median follow-up 53 months), 25 (10%) developed de novo steatosis, with the vast majority (23 of 25; 92%) developing it after chemotherapy. Of those, 14 (61%) developed steatosis within the first 18 months posttreatment and 20 (87%) within 36 months. Cases had higher baseline body mass index (BMI; mean +/- SD, 29.0 +/- 6.5 versus 26.0 +/- 5.2 kg/m<sup>2</sup>; P = 0.014) and hyperlipidemia (12% versus 2%; P = 0.035). Although their weights did not change during chemotherapy, BMI in cases increased by 2.4 +/- 2 kg/m<sup>2</sup> (mean +/- SD) from end of treatment to steatosis compared to 0.68 +/- 1.4 in controls (P = 0.003). Etoposide-containing regimens were associated with a shorter time to steatosis (median 34 weeks versus 154 weeks; P < 0.001) despite similar baseline risk factors. Conclusion: The recovery period from NHL chemotherapy appears to be a "hot spot" for development of fatty liver, driven by early posttreatment weight gain, especially in subjects with baseline risk factors.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution MedStar Washington Hospital Center
656 ## - INDEX TERM--OCCUPATION
Department Medicine/General Internal Medicine
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Cho, Min Ho
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Hemmati, Mehdi
790 ## - Authors
All authors Alao H, Ben-Yakov G, Cho MH, Dunleavy K, Fryzek N, Haydek JP, Hemmati M, Jones EC, Rotman Y, Samala V, Shovlin M, Wilson W
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1002/hep4.1304">https://dx.doi.org/10.1002/hep4.1304</a>
Public note https://dx.doi.org/10.1002/hep4.1304
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 03/14/2019   30766960 30766960 03/14/2019 03/14/2019 Journal Article

Powered by Koha