创新炎症-营养生物标志物评分在结直肠癌患者中的预后意义

IF 1.6 4区 医学 Q4 ONCOLOGY
Masatsune Shibutani, Shinichiro Kashiwagi, Hideki Tanda, Yuki Seki, Koji Takada, Hiroaki Kasashima, Tatsunari Fukuoka, Kiyoshi Maeda
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引用次数: 0

摘要

背景/目的:在不同类型恶性肿瘤患者队列中,基于宿主因素,包括淋巴细胞与c反应蛋白比率、c反应蛋白与白蛋白比率、晚期肺癌炎症指数和营养风险指数,建立与术后生存时间相关的炎症-营养生物标志物评分(INS),该指标与肿瘤、淋巴结、转移(TNM)分期无关。因此,本研究旨在评价INS在结直肠癌根治性切除患者中的预后价值。患者和方法:我们回顾性评估了476例连续接受手术治疗的I-III期结直肠癌患者。结果:根据INS定义,240例、132例、57例、23例和24例患者的评分分别为0、1、2、3和4分。INS为0、1分的患者分为低INS组,INS为2、3、4分的患者分为高INS组。高ins组的无复发生存率和总生存率明显低于低ins组。此外,预后因素的多因素分析表明,INS是不良无复发和总生存的独立预后因素。结论:联合评估INS和TNM分期可获得更准确的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prognostic Significance of Innovative Inflammation-nutrition Biomarker Score in Patients With Colorectal Cancer.

Background/aim: A new index, inflammation-nutrition biomarker score (INS), based on host factors, including lymphocyte to C-reactive protein ratio, C-reactive protein to albumin ratio, advanced lung cancer inflammation index, and nutritional risk index, correlated with post-operative survival time independent of the tumor, node, metastasis (TNM) stage, in a cohort of patients with various types of malignancies. Therefore, this study aimed to evaluate the prognostic value of INS in patients with colorectal cancer who underwent curative resection.

Patients and methods: We retrospectively evaluated 476 consecutive patients who underwent curative surgery for stage I-III colorectal cancer.

Results: Based on the INS definition, 240, 132, 57, 23, and 24 patients had a score of 0, 1, 2, 3, and 4, respectively. Patients with INS of 0 and 1 were classified into the low-INS group, and those with INS of 2, 3, and 4 were classified into the high-INS group. The relapse-free and overall survival rates were significantly worse in the high-INS group than in the low-INS group. Furthermore, multivariate analysis of the prognostic factors indicated that INS is an independent prognostic factor for poor relapse-free and overall survival.

Conclusion: The combined evaluation of INS and TNM stages may allow for more accurate prognostication.

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来源期刊
Anticancer research
Anticancer research 医学-肿瘤学
CiteScore
3.70
自引率
10.00%
发文量
566
审稿时长
2 months
期刊介绍: ANTICANCER RESEARCH is an independent international peer-reviewed journal devoted to the rapid publication of high quality original articles and reviews on all aspects of experimental and clinical oncology. Prompt evaluation of all submitted articles in confidence and rapid publication within 1-2 months of acceptance are guaranteed. ANTICANCER RESEARCH was established in 1981 and is published monthly (bimonthly until the end of 2008). Each annual volume contains twelve issues and index. Each issue may be divided into three parts (A: Reviews, B: Experimental studies, and C: Clinical and Epidemiological studies). Special issues, presenting the proceedings of meetings or groups of papers on topics of significant progress, will also be included in each volume. There is no limitation to the number of pages per issue.
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