High systemic inflammation response index (SIRI) level as a prognostic factor for colorectal cancer patients after curative surgery: a single-center retrospective analysis
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Hayama, Tamuro
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Hayama, Tamuro
[1
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Ochiai, Hiroki
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Ochiai, Hiroki
[1
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Ozawa, Tsuyoshi
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Univ Tokyo, Grad Sch Med, Dept Surg Oncol, Tokyo, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Ozawa, Tsuyoshi
[2
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Miyata, Toshiya
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Miyata, Toshiya
[1
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Asako, Kentaro
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Asako, Kentaro
[1
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Fukushima, Yoshihisa
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Fukushima, Yoshihisa
[1
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Kaneko, Kensuke
[1
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Nozawa, Keijiro
[1
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Fujii, Shoichi
[3
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Misawa, Takeyuki
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Misawa, Takeyuki
[1
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Fukagawa, Takeo
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Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, JapanTeikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
Fukagawa, Takeo
[1
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机构:
[1] Teikyo Univ, Dept Surg, Sch Med, 2-11-1 Kaga,Itabashi Ku, Tokyo 1738605, Japan
[2] Univ Tokyo, Grad Sch Med, Dept Surg Oncol, Tokyo, Japan
[3] Yokohama Gen Hosp, Dept Surg, Yokohama, Kanagawa, Japan
The Systemic Inflammation Response Index (SIRI), a marker used to assess systemic inflammation, is associated with lower patient survival rates in various cancer types. Factors contributing to the recurrence of colorectal cancer (CRC) have been examined previously using the preoperative SIRI. Herein, we investigated the association between the preoperative SIRI level and both the recurrence-free survival (RFS) and overall survival (OS) in patients diagnosed with CRC. We retrospectively analyzed the case of 406 patients who underwent curative surgery for Stage I-III CRC at a single institution during 2012- 2017. Based on their SIRI levels, we categorized the patients into a low-SIRI group (<= 1700) and a high-SIRI group (> 1700). Multivariable analyses revealed that a high-SIRI level was an independent risk factor for 5-year RFS (p = 0.045) and OS (p = 0.048) in CRC patients. A Kaplan-Meier analysis demonstrated significantly poorer 5-year RFS and OS outcomes in the high-SIRI group compared to the low-SIRI group (p = 0.0001, p = 0.017 respectively). These findings suggest that the high-SIRI level is significantly associated with a poorer prognosis in patients diagnosed with CRC.