Research Article

The Prognostic Role of Prothrombin Time and Activated Partial Thromboplastin Time in Patients with Newly Diagnosed Multiple Myeloma

Table 1

Baseline clinical and biological characteristics of MM patients.

CharacteristicsAll patientsNormal PT and APTTLengthened PT or APTT value
(%) (%) (%)

Sex
 Male196 (55.4)113 (56.5)83 (53.9)0.625
 Female158 (44.6)87 (43.5)71 (46.1)
Age
 ≤65 years237 (66.9)138 (69.0)99 (64.3)0.350
 >65 years117 (33.1)62 (31.0)55 (35.7)
MM subtype
 IgG159 (44.9)80 (40.0)79 (51.3)0.000
 IgA83 (23.4)34 (17.0)49 (31.8)
 IgD17 (4.8)11 (5.5)6 (3.9)
 Light chain only85 (24.0)69 (34.5)16 (10.4)
 Nonsecretory10 (2.8)6 (3.0)4 (2.6)
Light chain
κ173 (50.3)102 (52.6)71 (47.3)0.335
λ171 (49.7)92 (47.4)79 (52.7)
ISS stage
 I46 (13.0)32 (16.0)14 (9.1)0.086
 II136 (38.4)79 (39.5)57 (37.0)
 III172 (48.6)89 (44.5)83 (53.9)
R-ISS stage
 I32 (10.2)21 (12.2)11 (7.7)0.139
 II220 (70.1)123 (71.5)97 (68.3)
 III62 (19.7)28 (16.3)34 (23.9)
Serum albumin
 <35 g/L200 (56.7)91 (45.7)109 (70.8)0.000
 ≥35 g/L153 (43.3)108 (54.3)45 (29.2)
Serum β2-microglobulin
 <3.5 mg/L98 (29.9)66 (36.1)32 (22.1)0.006
 ≥3.5 mg/L230 (70.1)117 (63.9)113 (77.9)
Hemoglobin
 <100 g/L235 (66.6)113 (56.5)122 (79.7)0.000
 ≥100 g/L118 (33.4)87 (43.5)31 (20.3)
Platelet
53 (15.0)21 (10.5)32 (20.9)0.007
300 (85.0)179 (89.5)121 (79.1)
Serum creatinine
 <88.4 μmol/L200 (56.7)119 (59.8)81 (52.6)0.176
 ≥88.4 μmol/L153 (43.3)80 (40.2)73 (47.4)
Corrected serum calcium
 ≤2.75 mmol/L308 (87.3)179 (89.9)129 (83.8)0.084
 >2.75 mmol/L45 (12.7)20 (10.1)25 (16.2)
Lactate dehydrogenase
 <250 U/L298 (84.9)170 (85.9)128 (83.7)0.568
 ≥250 U/L53 (15.1)28 (14.1)25 (16.3)
Deep and full immunoparesis
 Yes106 (41.9)53 (40.2)53 (43.8)0.557
 No147 (58.1)79 (59.8)68 (56.2)
Cytogenetic abnormalities by FISH
 del(17p13)
  Abnormality22 (9.0)9 (7.0)13 (11.2)0.255
  No abnormality222 (91.0)119 (93.0)103 (88.8)
 t(14; 16)
  Abnormality5 (2.0)2 (1.6)3 (2.6)0.573
  No abnormality239 (98.0)126 (98.4)113 (97.4)
 t(4; 14)
  Abnormality41 (16.8)22 (17.2)19 (16.4)0.866
  No abnormality203 (83.2)106 (82.8)97 (83.6)
Induction regimes
 Bortezomib based144 (43.5)75 (39.3)69 (49.3)0.192
 IMiD based50 (15.1)31 (16.2)19 (13.6)
 Bortezomib and IMiD based137 (41.4)85 (44.5)52 (37.1)
ASCT
 Yes78 (22.7)47 (24.0)31 (20.9)0.506
 No266 (77.3)149 (76.0)117 (79.1)

Abbreviations: PT: prothrombin time; APTT: activated partial thromboplastin time; IMiD: immunomodulatory; ASCT: autologous stem cell transplant.