Utility of High-Sensitivity Modified Glasgow Prognostic Score in Cancer Prognosis: A Systemic Review and Meta-Analysis

被引:19
作者
Wu, Tsung-Hsien [1 ,2 ]
Tsai, Yao-Te [3 ,4 ]
Chen, Kuan-Yin [5 ]
Yap, Wing-Keen [6 ]
Luan, Chih-Wei [4 ,7 ,8 ,9 ]
机构
[1] Natl Taiwan Univ, Inst Hlth Policy & Management, Taipei 100, Taiwan
[2] Legal Affair Dept, New Taipei City Dept, Taipei, Taiwan
[3] Chang Gung Univ, Coll Med, Taoyuan 333, Taiwan
[4] Chang Gung Mem Hosp, Dept Otorhinolaryngol Head & Neck Surg, Chiayi 613, Taiwan
[5] Natl Yang Ming Univ, Sch Dent, Taipei 11221, Taiwan
[6] Chang Gung Mem Hosp, Proton & Radiat Therapy Ctr, Linkou Med Ctr, Dept Radiat Oncol, Taoyuan, Taiwan
[7] Minist Hlth & Welf Home, LO Sheng Hosp, Dept Otorhinolaryngol Head & Neck Surg, Taipei 242, Taiwan
[8] Lunghwa Univ Sci & Technol, Gen Educ Ctr, Taoyuan 33306, Taiwan
[9] Chang Gung Univ, Grad Inst Clin Med Sci, Coll Med, Taoyuan 333, Taiwan
关键词
high-sensitivity modified Glasgow Prognostic Score; cancer; survival outcome; meta-analysis; C-REACTIVE PROTEIN; INFLAMMATION; SURVIVAL; RATIO; LYMPHOCYTE; SUPERIOR;
D O I
10.3390/ijms24021318
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
The suitability of the high-sensitivity modified Glasgow Prognostic Score (HS-mGPS) in cancer patients remains unknown. We performed a systematic database search from 1 January 2010 to 30 September 2022, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Selected studies reported the HS-mGPS and survival outcomes in cancer patients. The association between the HS-mGPS and survival outcomes was evaluated using a random-effects model and expressed as pooled hazard ratios (HRs) with 95% CIs. This meta-analysis evaluated 17 studies with a total of 5828 cancer patients. A higher HS-mGPS was found to be associated with an adverse OS (HR = 2.17; 95% CI: 1.80-2.60), DSS (HR = 3.81; 95% CI: 2.03-7.17), and DFS (HR = 1.96; 95% CI: 1.48-2.58; all p <= 0.001). The prognostic value of the HS-mGPS for the OS trended in a consistent direction after subgrouping and sensitivity analysis. In conclusion, the HS-mGPS serves as a valid prognostic biomarker for cancer patients, with a high HS-mGPS associated with adverse survival outcomes.
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页数:13
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