Impact of Antiplatelet and Anticoagulant Therapies on Platelet-related Prognostic Markers in Patients With Esophageal Cancer.


Journal

In vivo (Athens, Greece)
ISSN: 1791-7549
Titre abrégé: In Vivo
Pays: Greece
ID NLM: 8806809

Informations de publication

Date de publication:
Historique:
received: 31 03 2020
revised: 08 04 2020
accepted: 10 04 2020
entrez: 2 7 2020
pubmed: 2 7 2020
medline: 22 6 2021
Statut: ppublish

Résumé

In recent years, platelet-related markers were recognized as useful prognostic factors in various malignancies. We investigated the relationship between platelet-related prognostic markers and anti-platelet or anti-coagulant therapies for survival outcomes in esophageal squamous cell carcinoma. Preoperative platelet-related prognostic markers were evaluated from peripheral blood testing and statistical analyses were performed to evaluate the prognostic value of these markers and reveal the effects of antiplatelets and/or anticoagulants regarding their prognostic relevance. In all 176 patients, preoperative platelet-to-lymphocyte ratio (PLR) was not found to be a predictor of overall survival (OS). However, in patients without antiplatelet or anticoagulant therapies, PLR was significantly associated with a poor OS (p=0.03). Although platelet large cell ratio (P-LCR) was not associated with the prognosis in patients with antiplatelet and/or anticoagulant therapies, higher P-LCR was associated with a poor prognosis in patients without antiplatelet or anticoagulant therapies (p<0.0001). Researching detailed antiplatelet and anticoagulant therapies could reinforce the prognostic value of platelet-related prognostic markers in ESCC.

Sections du résumé

BACKGROUND/AIM OBJECTIVE
In recent years, platelet-related markers were recognized as useful prognostic factors in various malignancies. We investigated the relationship between platelet-related prognostic markers and anti-platelet or anti-coagulant therapies for survival outcomes in esophageal squamous cell carcinoma.
PATIENTS AND METHODS METHODS
Preoperative platelet-related prognostic markers were evaluated from peripheral blood testing and statistical analyses were performed to evaluate the prognostic value of these markers and reveal the effects of antiplatelets and/or anticoagulants regarding their prognostic relevance.
RESULTS RESULTS
In all 176 patients, preoperative platelet-to-lymphocyte ratio (PLR) was not found to be a predictor of overall survival (OS). However, in patients without antiplatelet or anticoagulant therapies, PLR was significantly associated with a poor OS (p=0.03). Although platelet large cell ratio (P-LCR) was not associated with the prognosis in patients with antiplatelet and/or anticoagulant therapies, higher P-LCR was associated with a poor prognosis in patients without antiplatelet or anticoagulant therapies (p<0.0001).
CONCLUSION CONCLUSIONS
Researching detailed antiplatelet and anticoagulant therapies could reinforce the prognostic value of platelet-related prognostic markers in ESCC.

Identifiants

pubmed: 32606166
pii: 34/4/1941
doi: 10.21873/invivo.11991
pmc: PMC7439896
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1941-1949

Informations de copyright

Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

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Auteurs

Yusuke Ishibashi (Y)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Hironori Tsujimoto (H)

Department of Surgery, National Defense Medical College, Saitama, Japan tsujihi@ndmc.ac.jp.

Keita Kouzu (K)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Yujiro Itazaki (Y)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Satoshi Tsuchiya (S)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Seiichiro Fujishima (S)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Yoshihisa Yaguchi (Y)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Hidekazu Sugasawa (H)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Shinsuke Nomura (S)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Nozomi Ito (N)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Manabu Harada (M)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Hiromi Nagata (H)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Eiji Shinto (E)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Yoji Kishi (Y)

Department of Surgery, National Defense Medical College, Saitama, Japan.

Hideki Ueno (H)

Department of Surgery, National Defense Medical College, Saitama, Japan.

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