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March 6, 2020BiomarkersOpen Access

An elevated red blood cell distribution width (≥13.5%) was associated with significantly higher long-term all-cause mortality compared to RDW <12.8% (HR 5.766; 95% CI 1.426-23.310; p=0.014).

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Why the study?

Evidence concerning prognostic biomarkers among patients with cancer undergoing PCI is scarce, despite the rising prevalence of coronary heart disease with cancer.

Does elevated red blood cell distribution width predict long-term all-cause mortality in patients undergoing PCI with a previous history of cancer?

Population

172 patients undergoing PCI with a previous history of cancer

Comparison

RDW tertiles: Tertile 1 (<12.8%) vs Tertile 2 (≥12.8% to <13.5%) vs Tertile 3 (≥13.5%)

Design

Retrospective study

Follow-up

Average 33.3 months

Key result

An elevated red blood cell distribution width (≥13.5%) was associated with significantly higher long-term all-cause mortality compared to RDW <12.8% (HR 5.766; 95% CI 1.426-23.310; p=0.014).

Authors

QYQingyong YangXLXiufeng LiMLMaoqiang Lin

Discussion

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Member takes

Overview

May aid risk stratification; hypothesis-generating and requires prospective validation before clinical use.

Study Design

Type

Cohort (n=172)

Structured PICO

Does elevated red blood cell distribution width predict long-term all-cause mortality in patients undergoing PCI with a previous history of cancer?

P
Population
172 patients undergoing percutaneous coronary intervention with a previous history of cancer, followed for an average of 33.3 months.
E
Exposure
Elevated red blood cell distribution width (RDW ≥13.5%, Tertile 3)
C
Comparator
Lower red blood cell distribution width (Tertile 1: <12.8% and Tertile 2: ≥12.8% and <13.5%)
O
Outcome
Long-term all-cause mortalityhard clinical

Main Result

Hazard Ratio: 5.766 (95% CI 1.426–23.31)

p-value: p=0.014

Elevated red blood cell distribution width (≥13.5%) is a strong independent predictor of long-term all-cause mortality in patients with a history of cancer undergoing PCI.

Cite This Study

Yang et al. (2020) conducted a cohort in coronary heart disease with cancer (n=172). Elevated red blood cell distribution width (RDW ≥13.5%) vs. RDW <12.8% was evaluated on long-term all-cause mortality (HR 5.766, 95% CI 1.426-23.310, p=0.014). An elevated red blood cell distribution width (≥13.5%) was associated with significantly higher long-term all-cause mortality compared to RDW <12.8% (HR 5.766; 95% CI 1.426-23.310; p=0.014).

synapsesocial.com/papers/6a97d57c827cb52371a67b32https://doi.org/10.1080/1354750x.2020.1734860
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Red cell distribution width is associated with long-term prognosis in patients with stable coronary artery disease2013 · 87 citations
  2. 2Red Cell Distribution Width and Mortality in Patients Undergoing Percutaneous Coronary Intervention2021 · 12 citations
  3. 3Red cell distribution width (RDW) as a predictor of long-term mortality in patients undergoing percutaneous coronary intervention2009 · 96 citations
  4. 4A-45 | Red blood cell distribution width as a long-term prognostic marker in patients with coronary artery disease undergoing percutaneous coronary intervention: An updated meta-analysis2024
  5. 5Association between red cell distribution width and all-cause mortality in patients with breast cancer: A retrospective analysis using MIMIC-IV 2.02024 · 6 citations