The Prognostic Value of Neutrophil-to-Lymphocyte Ratio in Metastatic Testicular Cancer.

germ cell tumors metastatic disease neutrophil-to-lymphocyte ratio prognosis testicular cancer

Journal

Current oncology (Toronto, Ont.)
ISSN: 1718-7729
Titre abrégé: Curr Oncol
Pays: Switzerland
ID NLM: 9502503

Informations de publication

Date de publication:
21 12 2020
Historique:
received: 30 07 2020
revised: 03 12 2020
accepted: 15 12 2020
entrez: 24 2 2021
pubmed: 25 2 2021
medline: 25 9 2021
Statut: epublish

Résumé

We investigated the prognostic utility of pre-chemotherapy neutrophil-to-lymphocyte ratio (NLR) in patients with metastatic germ cell tumors (GCTs) undergoing first-line chemotherapy. We utilized two institutional databases to analyze the pretreatment-derived NLR (dNLR). Predictive accuracy was evaluated using the Cox proportional hazard model adjusted for the international germ cell cancer collaborative group (IGCCCG) risk classification. Discriminatory accuracy was evaluated by determining the area under the receiver operating characteristic curve (AUROC). In total, 569 of 690 patients had available dNLR (IGCCCG: good, 64%; intermediate, 21%; poor, 16%). The 5-year and 10-year overall survivals (OSs) for good, intermediate, and poor risk groups were 96.2%, 92.8%, and 62.7% and 93.9%, 90.3%, and 62.7%, respectively. A dNLR of 2 provided the best discriminatory accuracy with an AUROC of 0.58 (95% CI: 0.52-0.65,

Identifiants

pubmed: 33622996
pii: curroncol28010014
doi: 10.3390/curroncol28010014
pmc: PMC7816171
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

107-114

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Auteurs

Domen Ribnikar (D)

Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Igor Stukalin (I)

Department of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.

Philippe L Bedard (PL)

Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Robert J Hamilton (RJ)

Princess Margaret Cancer Centre, Department of Surgery, University Health Network, 610 University Ave 3-130, Toronto, ON M5G 2C1, Canada.

Michael Jewett (M)

Princess Margaret Cancer Centre, Department of Surgery, University Health Network, 610 University Ave 3-130, Toronto, ON M5G 2C1, Canada.

Padraig Warde (P)

Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Peter Chung (P)

Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Lynn Anson-Cartwright (L)

Department of Radiation Oncology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Arnoud J Templeton (AJ)

Department of Oncology, St. Claraspital Basel, and Faculty of Medicine, University of Basel, CH-4058 Basel, Switzerland.

Eitan Amir (E)

Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Aaron R Hansen (AR)

Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

Daniel Y C Heng (DYC)

Department of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada.

Jeremy Lewin (J)

Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, ON M5G 2C1, Canada.

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