Can Pre-Operative Neutrophil-to-Lymphocyte Ratio (NLR) Help Predict Non-Metastatic Renal Carcinoma Recurrence after Nephrectomy? (UroCCR-61 Study).

bio-marker localized RCC neutrophil–lymphocyte ratio prognostic factor renal cell carcinoma

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
19 Nov 2022
Historique:
received: 04 10 2022
revised: 15 11 2022
accepted: 17 11 2022
entrez: 26 11 2022
pubmed: 27 11 2022
medline: 27 11 2022
Statut: epublish

Résumé

Recent studies suggested that the neutrophil-to-lymphocyte ratio (NLR) could play a key role in tumor initiation, progression and response to treatments. The main objective was to assess the prognostic value of the pre-operative NLR on recurrence-free survival (RFS) in patients with non-hereditary localized renal cell carcinoma. From the UroCCR database (NCT03293563), factors influencing the disease recurrence of consecutive patients who underwent nephrectomy for cT1-T4 N0M0 were analyzed using multi-variate cox regression and log-rank methods. We included 786 patients, among which 135 (17.2%) experienced a recurrence at a median time of 23.7 [8.5-48.6] months. RFS for patients with a pre-operative NLR of <2.7 was 94% and 88% at 3 and 5 years, respectively, versus 76% and 63% for patients with a NLR of ≥2.7 (

Identifiants

pubmed: 36428784
pii: cancers14225692
doi: 10.3390/cancers14225692
pmc: PMC9688470
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Prog Urol. 2020 Nov;30(12S):S2-S51
pubmed: 33349425
J Urol. 2010 Sep;184(3):873-8
pubmed: 20643463
Br J Cancer. 2013 Mar 5;108(4):901-7
pubmed: 23385728
Urol Oncol. 2017 Apr;35(4):135-141
pubmed: 28233671
BJU Int. 2007 Feb;99(2):296-300
pubmed: 17326263
Asian Pac J Cancer Prev. 2015;16(9):3703-8
pubmed: 25987025
J Clin Oncol. 2004 Aug 15;22(16):3316-22
pubmed: 15310775
Nature. 2008 Jul 24;454(7203):436-44
pubmed: 18650914
Eur Urol. 2019 May;75(5):799-810
pubmed: 30803729
N Engl J Med. 2021 Aug 19;385(8):683-694
pubmed: 34407342
Cell. 2010 Mar 19;140(6):883-99
pubmed: 20303878
J Urol. 2012 Feb;187(2):411-7
pubmed: 22177153
J Natl Cancer Inst. 2014 May 29;106(6):dju124
pubmed: 24875653
Urol Ann. 2014 Apr;6(2):116-21
pubmed: 24833821
Urol Oncol. 2014 Nov;32(8):1277-84
pubmed: 25017696
Can Urol Assoc J. 2018 Jul;12(7):E345-E348
pubmed: 29603920
J Urol. 2013 Dec;190(6):1999-2004
pubmed: 23831313
Signal Transduct Target Ther. 2021 Jul 12;6(1):263
pubmed: 34248142
CA Cancer J Clin. 2017 Mar;67(2):93-99
pubmed: 28094848
Immunotherapy. 2019 May;11(7):631-643
pubmed: 30943858
World J Urol. 2017 Feb;35(2):261-270
pubmed: 27255479

Auteurs

Clément Allenet (C)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Clément Klein (C)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Benjamin Rouget (B)

Department of Urology, Robert Boulin Hospital, 33500 Libourne, France.

Gaëlle Margue (G)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Grégoire Capon (G)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Eric Alezra (E)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Peggy Blanc (P)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Vincent Estrade (V)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Franck Bladou (F)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Grégoire Robert (G)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Jean-Christophe Bernhard (JC)

Department of Urology, Bordeaux Pellegrin University Hospital,33000 Bordeaux, France.
Department of Health Sciences, University of Bordeaux, 33000 Bordeaux, France.

Classifications MeSH