Marx, Sascha and Altmann, Robert and Baschin, Marcel and Paland, Heiko and Rauch, Bernhard H. and Kohlmann, Thomas and Schroeder, Henry W. S. (2021) Preoperative Thrombocytosis is Not Associated with Overall Survival in 309 Glioblastoma Patients. Journal of Neurological Surgery Part A.

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In recent years, a correlation of thrombocytosis and a worse prognosis was shown for many solid cancers, including glioblastoma multiforme (GBM). Methods A retrospective review was performed for all patients with a histologically proven and first-diagnosed GBM between 2005 and 2015 in our department. Clinical and paraclinical parameters were acquired from patient documentation and structured for subsequent data analysis. The association of potential risk factors with overall survival was assessed using the Kaplan–Meier survival analysis and Cox regression. The present study includes 309 patients first diagnosed with primary GBM. Our analyses validate well-known risk factors of a decreased overall survival such as higher patient age, a larger preoperative tumor volume, Karnofsky performance status, extent of resection, tumor localization, and adjuvant treatment. However, no correlation was observed between a preoperative thrombocytosis, the mean platelet volume, leucocyte count, activated partial thromboplastin time (apTT), fibrinogen level, and acetylsalicylic acid 100 co-medication. Patients with preoperative hemoglobin below 7.5mmol/L had decreased overall survival. The present study, enrolling the largest numbers of patients assessing this topic to date, did not find any association between a preoperative thrombocytosis and overall survival in 309 patients with GBM.

Item Type: Article
Uncontrolled Keywords: platelet count, overall survival, glioblastoma, aspirin, hemoglobin
Subjects: Technology, medicine, applied sciences > Medicine and health
Divisions: Faculty of Medicine and Health Sciences > Department of Human Medicine
Date Deposited: 17 Jan 2022 09:56
Last Modified: 18 Jan 2022 07:21
URN: urn:nbn:de:gbv:715-oops-52647
DOI: 10.1055/s-0041-1739501

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