Background: The purpose of this study was to evaluate the effect of weight
changes after completion of chemotherapy on the prognosis and survival of p
atients with intermediate and high grade non-Hodgkin's lymphoma. Materials
and Methods: A retrospective analysis of data on patients fr om the TCOG T1
488 protocol, a phase II study using CHOP in the treatment of intermediate
and high grade lymphoma. From September, 1988 to December 1994, 138 adult p
atients had complete weight data for analysis. Weight gain in lymphoma pati
ents after therapy, significantly correlated with improved survival (Logran
k test p =. 0031). In patients with initial B symptoms, weight gain after t
herapy, correlated with survival (Logrank test p =. 0039), female patients
(odds ratio=6.2) were less likely to gain weight on treatment. Conclusion:
Weight gain after chemotherapy for lymphoma is a significant positive progn
ostic factor for survival.