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• W2159412282 abstract "The purpose of this study is to evaluate potential associations between increased platelets and oncologic outcomes in oropharyngeal cancer patients receiving concurrent chemoradiation. A total of 433 oropharyngeal cancer patients (OPC) treated with intensity‐modulated radiation therapy (IMRT) with concurrent chemotherapy between 2002 and 2012 were included under an approved IRB protocol. Complete blood count (CBC) data were extracted. Platelet and hemoglobin from the last phlebotomy (PLT pre‐chemoRT, Hgb pre‐chemoRT ) before start of treatment were identified. Patients were risk‐stratified using Dahlstrom–Sturgis criteria and were tested for association with survival and disease‐control outcomes. Locoregional control (LRC), freedom from distant metastasis (FDM) and overall survival (OS) were decreased ( p < 0.03, p < 0.04 and p < 0.0001, respectively) for patients with PLT pre‐chemoRT value of ≥350 × 10 9 /L. Actuarial 5‐year locoregional control (LRC) and FDM were 83 and 85% for non‐thrombocythemic patients while patient with high platelets had 5‐year LRC and FDM of 73 and 74%, respectively. Likewise, 5‐year OS was better for patients with normal platelet counts by comparison (76 vs . 57%; p < 0.0001). Comparison of univariate parametric models demonstrated that PLT pre‐chemoRT was better among tested models. Multivariate assessment demonstrated improved performance of models which included pretherapy platelet indices. On Bayesian information criteria analysis, the optimal prognostic model was then used to develop nomograms predicting 3‐, 5‐ and 10‐year OS. In conclusion, pretreatment platelet elevation is a promising predictor of prognosis, and further work should be done to elucidate the utility of antiplatelets in modifying risk in OPC patients." @default.
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• W2159412282 date "2015-10-09" @default.
• W2159412282 modified "2023-10-18" @default.
• W2159412282 title "Prognostic value of pretherapy platelet elevation in oropharyngeal cancer patients treated with chemoradiation" @default.
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• W2159412282 doi "https://doi.org/10.1002/ijc.29870" @default.
• W2159412282 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/4779600" @default.
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• W2159412282 hasPublicationYear "2015" @default.
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