The Prognostic Values of a Novel Preoperative Inflammation-Based Score in Japanese Patients With Non-Small Cell Lung Cancer.

Cancer-specific survival Non-small cell lung cancer Novel inflammation-based core Surgery

Journal

World journal of oncology
ISSN: 1920-454X
Titre abrégé: World J Oncol
Pays: Canada
ID NLM: 101564097

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 01 08 2019
accepted: 19 08 2019
entrez: 23 10 2019
pubmed: 23 10 2019
medline: 23 10 2019
Statut: ppublish

Résumé

Several previous researchers have investigated the prognostic value of the combinations of systemic inflammatory markers. However, the prognostic power of these systemic inflammatory markers is not identical. We aimed to establish a novel prognostic score based on systemic inflammatory markers. Four hundred non-small cell lung cancer (NSCLC) patients who underwent surgery and were followed more than 5 years were included. Univariate and multivariate analyses were calculated by the Cox proportional hazards regression model. Among systemic inflammatory markers which were used for the previously reported indexes, preoperative serum C-reactive protein (CRP) and body mass index (BMI) were independent prognostic markers in multivariate analysis, while serum albumin level, neutrophil to lymphocyte ratio and platelet to lymphocyte ratio were not. Based on this result, a novel score was established. Patients with both normal CRP (< 0.13 ng/dL) and high BMI (> 20.6 kg/m This novel score based on CRP and BMI might serve as an efficient prognostic indicator in resected NSCLC.

Sections du résumé

BACKGROUND BACKGROUND
Several previous researchers have investigated the prognostic value of the combinations of systemic inflammatory markers. However, the prognostic power of these systemic inflammatory markers is not identical. We aimed to establish a novel prognostic score based on systemic inflammatory markers.
METHODS METHODS
Four hundred non-small cell lung cancer (NSCLC) patients who underwent surgery and were followed more than 5 years were included. Univariate and multivariate analyses were calculated by the Cox proportional hazards regression model.
RESULTS RESULTS
Among systemic inflammatory markers which were used for the previously reported indexes, preoperative serum C-reactive protein (CRP) and body mass index (BMI) were independent prognostic markers in multivariate analysis, while serum albumin level, neutrophil to lymphocyte ratio and platelet to lymphocyte ratio were not. Based on this result, a novel score was established. Patients with both normal CRP (< 0.13 ng/dL) and high BMI (> 20.6 kg/m
CONCLUSION CONCLUSIONS
This novel score based on CRP and BMI might serve as an efficient prognostic indicator in resected NSCLC.

Identifiants

pubmed: 31636791
doi: 10.14740/wjon1222
pmc: PMC6785273
doi:

Types de publication

Journal Article

Langues

eng

Pagination

176-180

Informations de copyright

Copyright 2019, Tomita et al.

Déclaration de conflit d'intérêts

The authors have declared that no conflict of interest exists.

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Auteurs

Masaki Tomita (M)

Department of Thoracic and Breast Surgery, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.

Takanori Ayabe (T)

Department of Thoracic and Breast Surgery, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.

Ryo Maeda (R)

Department of Thoracic and Breast Surgery, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.

Kunihide Nakamura (K)

Department of Thoracic and Breast Surgery, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.
Department of Cardiovascular Surgery, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.

Classifications MeSH