Research Article

Presence and Onset of Chronic Kidney Disease as a Factor Involved in the Poor Prognosis of Patients with Essential Thrombocythemia

Table 1

Patient characteristics.

Characteristics at ET diagnosisAll patients n = 73With CKD at ET diagnosis n = 21 (28.8%)Without CKD at the time of ET diagnosis n = 52 (71.2%) value

Age, median; years (range)69 (29–89)77 (45–89)68 (29–89)0.001
Female, n (%)38 (52)9 (43)29 (56)0.438
Male, n (%)35 (48)12 (57)23 (44)
WBC, median; ×109/L (range)9.6 (4.0–48.6)10.3 (7.3–35.8)9.1 (4.0–48.6)0.070
Neu, median; % (range)70.8 (50.1–90.3)71.7 (53.0–90.3)70.8 (50.1–88.9)0.446
RBC, median; ×1012/L (range)4.82 (2.54–6.72)5.29 (2.54–6.72)4.71 (3.05–6.72)0.027
Hb, median; g/dL (range)14.0 (7.5–16.4)14.1 (7.5–16.4)13.9 (7.8–16.1)0.869
Hct, median; % (range)43.0 (23.6–54.6)43.9 (23.6–54.6)42.6 (25.6–49.2)0.249
Plt, median; ×109/L (range)879 (450–2648)889 (452–2648)868 (450–1833)0.942
CRP median; mg/dL (range)0.07 (0.01–4.52)0.13 (0.02–3.63)0.07 (0.01–4.52)0.093
LD, median; U/L (range)239 (123–609)273 (179–561)214 (123–609)0.002
BUN, median; mg/dL (range)14.4 (6.9–37.6)19.0 (9.5–37.6)13.7 (6.9–26.2)0.002
Cr, median; mg/dL (range)0.7 (0.4–2.1)1.0 (0.7–2.1)0.6 (0.4–0.9)<0.001
eGFR, median; ml/min/1.73 m2 (range)80.2 (25.2–133.9)52.3 (25.2–59.5)87.1 (62.6–133.9)<0.001
Uric acid, median; mg/dL (range)5.1 (2.3–8.7)6.6 (3.7–8.5)4.8 (2.3–8.7)<0.001
JAK2V617F mutation, n (%)49a (67.1)19 (90.5)30a (57.7)0.007
CALR mutation, n (%)12 (16.4)2 (9.5)10 (19.2)0.489
MPL mutation, n (%)4a (5.5)0 (0)4a (7.7)0.318
Chromosome abnormality, n (%)4 (5.5)2 (9.5)2 (3.8)0.403
History of thrombosis, n (%)22 (30.1)10 (47.6)12 (23.1)0.051
History of hemorrhagic events, n (%)4 (5.5)1 (4.8)3 (5.8)1.000
Cardiovascular risk factors, n (%)48 (65.8)18 (85.7)30 (57.7)0.029
Heart failure, n (%)13 (17.8)8 (61.9)5 (9.6)0.007
Splenomegaly, n (%)13 (17.8)4 (19.0)9 (17.3)1.000

CKD, chronic kidney disease; eGFR, estimated glomerular filtration rate; ET, essential thrombocythemia. values of <0.05 are highlighted in bold. Percentages in parentheses refer to percentages in each group. aOne patient harbored JAK2V617F and MPLW515L mutations.