Evidence mapPaperPMID 41717408Full record

ArticleFrontiers in oncology2026

Association between the prognostic nutritional index and early mortality of AML patients after allogeneic HSCT: a retrospective cohort analysis.

Jie Tang, Feng Ran, Gangping Li, LiQuan Jiang, Li Wang, Yali Wang, Yimei Feng, Xiaoli Chen, Xi Zhang

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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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9 authors.

Jie Tang *Department of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Feng Ran *Department of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Gangping LiDepartment of Hematology, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
LiQuan JiangDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Li WangDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Yali WangDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Yimei FengDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Xiaoli ChenDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Xi ZhangDepartment of Hematology, The Second Affiliated Hospital of Army Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Allogeneic hematopoietic stem cell transplantation (Allo-HSCT) is an effective treatment for Acute Myeloid Leukemia (AML). The pre-transplantation Prognostic Nutritional Index (PNI) plays a critical role in determining patient prognosis, however, its correlation with mortality within 180 days after SCT is currently unclear. Objective: This study aimed to investigate the association between PNI and mortality within 180 days among AML patients who underwent HSCT. Methods: We conducted a cohort study by retrospectively collecting data from AML patients who underwent HSCT. The PNI was calculated and recorded as serum albumin (g/L) + 5 × peripheral blood lymphocyte count (10 Results: This retrospective cohort study included 477 adult patients with AML. The mean age of the patients was 37.4 ± 11.8 years, with males accounting for 55.6%. The vast majority (79.5%) of patients received transplants from related donors. Among those patients, 13.2% died within 180 days after transplantation. Patients with PNI T1 (30.2-44.6) had a significantly higher adjusted hazard ratio (HR) for mortality (1.52; 95% confidence intervals (CI), 1.17-1.98; Conclusions: The PNI exhibits a L-shaped association with 180-day mortality in AML patients post-HSCT, emerging as a significant predictor with a critical threshold identified at PNI 46. Below this threshold, declining PNI values correlate with increased mortality risk, underscoring its clinical utility in driving nutritional interventions to enhance post-transplant survival outcomes.

Indexed as

acute myeloid leukemiahematopoietic stem cell transplantationmortalitynutritional statusprognostic nutritional index

Identifiers

PMID41717408
PMCPMC12913105

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.