Clinical Impact of Preoperative Prognostic Nutritional Index in Surgical Patients With Pancreatic Cancer Treated With Perioperative Adjuvant Chemotherapy

被引：3

作者：

Kawahara, Shinnosuke ^{[1
]}

Aoyama, Toru ^{[2
]}

Murakawa, Masaaki ^{[1
]}

Kanemoto, Rei ^{[1
]}

Takahashi, Daishi ^{[1
]}

Kamioka, Yuto ^{[1
]}

Hashimoto, Itaru ^{[2
]}

Maezawa, Yukio ^{[2
]}

Kobayashi, Satoshi ^{[3
]}

Ueno, Makoto ^{[3
]}

Yamamoto, Naoto ^{[1
]}

Oshima, Takashi ^{[1
]}

Yukawa, Norio ^{[2
]}

Rino, Yasushi ^{[2
]}

Saito, Aya ^{[2
]}

Morinaga, Soichiro ^{[1
]}

机构：

[1] Kanagawa Canc Ctr, Dept Gastrointestinal Surg, 2-3-2 Nakao,Asahi Ku, Yokohama 2415815, Japan

[2] Yokohama City Univ, Dept Surg, Yokohama, Japan

[3] Kanagawa Canc Ctr, Dept Gastroenterol, Yokohama, Japan

来源：

ANTICANCER RESEARCH | 2024年 / 44卷 / 04期

关键词：

Pancreatic cancer; survival; prognostic nutritional index; adjuvant treatment; INFLAMMATION ASSESSMENT TOOLS; EPIDEMIOLOGY;

D O I：

10.21873/anticanres.16970

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background/Aim: The prognostic nutritional index (PNI) is used as a marker to evaluate the nutritional and immunological status of patients with various cancers. This study aimed to investigate whether preoperative PNI is a prognostic factor in patients with pancreatic cancer who underwent perioperative adjuvant chemotherapy and surgical resection. Patients and Methods: We retrospectively enrolled 232 pancreatic cancer patients who underwent surgical resection with perioperative adjuvant chemotherapy between January 2013 and December 2022. Overall survival (OS) and relapse -free survival (RFS) rates were calculated using the Kaplan-Meier method. Univariate and multivariate analyses were performed using the Cox proportional hazards regression models. Results: The optimal cutoff value for the preoperative PNI was 44.3 in the present study. PNI <44.3 was associated with older age (p<0.001) and affected the clinical course of postoperative adjuvant chemotherapy. The PNI <44.3 had an important influence on the decreased OS (25.1 vs. 39.0 months) and RFS (13.1 vs. 22.8 months). In univariate and multivariate analyses, the preoperative PNI was an independent prognostic factor for OS [hazard ratio (HR)=1.682, 95% confidence interval (CI)=1.059 - 2.673, p=0.028] and RFS (HR=1.559, 95% CI=1.037 - 2.344, p=0.033). Conclusion: Preoperative PNI

引用

页码：1711 / 1718

页数：8

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