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Table 4 Comparison between patients with and without malnutrition according to commonly observed toxicities of the HDMTX cycles (N = 120)

From: Is hypoalbuminemia a risk factor for high-dose methotrexate toxicity in children with acute lymphoblastic leukemia?

 

Cycles in patients without malnutrition (N= 88)

Cycles in patients with malnutrition (N = 32)

p

N (%)

Hematological toxicities

 Neutropenia

  No

20 (22.7)

8 (25.0)

χ2 test” p=0.795

  Yes

68 (77.3)

24 (75.0)

  G3–4

49 (55.7)

21 (65.6)

χ2 test” p=0.329

 Anemia

  No

18 (20.5)

10 (31.3)

χ2 test” p=0.216

  Yes

70 (79.5)

22 (68.8)

  G3–4

28 (31.8)

7 (21.9)

χ2 test” p=0.289

 Thrombocytopenia

  No

61 (69.3)

22 (68.8)

χ2 test” p=0.952

  Yes

27 (30.7)

10 (31.3)

  G3–4

15 (17.0)

4 (12.5)

χ2 test” p=0.546

 Febrile neutropeniaa

  No

66 (75.0)

23 (71.9)

χ2 test” p=0.729

  Yes

22 (25.0)

9 (28.1)

Hepatic toxicity

 Increased ALT

  No

66 (75.0)

20 (62.5)

χ2 test” p=0.179

  Yes

22 (25.0)

12 (37.5)

  G3–4

5 (5.7%)

1 (3.1%)

FEp=1.000

 Increased AST

  No

68 (77.3)

19 (59.4)

“χ2test”p=0.052

  Yes

20 (22.7)

13 (40.6)

  G3–4

3 (3.4%)

1 (3.1%)

FEp=1.000

Gastrointestinal toxicity

 Oral mucositis

  No

59 (67.0)

17 (53.1)

χ2 test” p=0.162

  Yes

29 (33.0)

15 (46.9)

  G3–4

14 (15.9%)

6 (18.8%)

χ2 test” p=0.783

Nephrotoxicity

 Increased creatinine

  No

60 (68.2)

20 (62.5)

χ2 test” p=0.559

  Yes

28 (31.8)

12 (37.5)

  G3–4

1 (1.1%)

1 (3.1%)

FEp=0.464

  1. P-value significant when p <0.05
  2. aThere is no grades 1 or 2 in the CTCAE score system grading febrile neutropenia, and it was reported in the present study only in grade 3 [15]