Prognostic significance of the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in patients with stage III and IVcolorectal cancer

被引:75
作者
Kim, Jae Hyun [1 ]
Lee, Jun Yeop [1 ]
Kim, Hae Koo [1 ]
Lee, Jin Wook [1 ]
Jung, Sung Gyu [1 ]
Jung, Kyoungwon [1 ]
Kim, Sung Eun [1 ]
Moon, Won [1 ]
Park, Moo In [1 ]
Park, Seun Ja [1 ]
机构
[1] Kosin Univ, Dept Internal Med, Div Gastroenterol, Coll Med, 34 Amnam Dong, Busan 602702, South Korea
关键词
Colorectal cancer; Neutrophil; Lymphocyte; Platelet; Prognosis; PRETREATMENT NEUTROPHIL/LYMPHOCYTE RATIO; COLORECTAL-CANCER; PREOPERATIVE NEUTROPHIL; CURATIVE RESECTION; RISK; RECURRENCE; SURVIVAL; SUPERIOR; INFLAMMATION; PREDICTOR;
D O I
10.3748/wjg.v23.i3.505
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM To evaluate the prognostic value of the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in patients with colorectal cancer (CRC). METHODS Between April 1996 and December 2010, medical records from a total of 1868 patients with CRC were retrospectively reviewed. The values of simple inflammatory markers including NLR and PLR in predicting the long-term outcomes of these patients were evaluated using Kaplan-Meier curves and Cox regression models. RESULTS The median follow-up duration was 46 mo (interquartile range, 22-73). The estimation of NLR and PLR was based on the time of diagnosis. In multivariate Cox regression analysis, high NLR (>= 3.0) and high PLR (>= 160) were independent risk factors predicting poor long-term outcomes in patients with stage. and. CRC. However, high NLR and high PLR were not prognostic factors in patients with stage. and. CRC. CONCLUSION In this study, we identified that high NLR (>= 3.0) and high PLR (>= 160) are useful prognostic factors to predict long-term outcomes in patients with stage. and. CRC.
引用
收藏
页码:505 / 515
页数:11
相关论文
共 40 条
[1]   A derived neutrophil to lymphocyte ratio predicts clinical outcome in stage II and III colon cancer patients [J].
Absenger, G. ;
Szkandera, J. ;
Pichler, M. ;
Stotz, M. ;
Arminger, F. ;
Weissmueller, M. ;
Schaberl-Moser, R. ;
Samonigg, H. ;
Stojakovic, T. ;
Gerger, A. .
BRITISH JOURNAL OF CANCER, 2013, 109 (02) :395-400
[2]  
Absenger G, 2013, ANTICANCER RES, V33, P4591
[3]   Pretreatment neutrophil/lymphocyte ratio is superior to platelet/lymphocyte ratio as a predictor of long-term mortality in breast cancer patients [J].
Azab, Basem ;
Shah, Neeraj ;
Radbel, Jared ;
Tan, Pamela ;
Bhatt, Vijaya ;
Vonfrolio, Steven ;
Habeshy, Ayman ;
Picon, Antonio ;
Bloom, Scott .
MEDICAL ONCOLOGY, 2013, 30 (01)
[4]   Aspirin and the risk of colorectal cancer in relation to the expression of COX-2 [J].
Chan, Andrew T. ;
Ogino, Shuji ;
Fuchs, Charles S. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (21) :2131-2142
[5]   The neutrophil-to-lymphocyte ratio as a predictor for recurrence of colorectal liver metastases following radiofrequency ablation [J].
Chang, Zhihui ;
Zheng, Jiahe ;
Ma, Yujia ;
Zhao, Jian ;
Wang, Chuanzhuo ;
Liu, Zhaoyu .
MEDICAL ONCOLOGY, 2014, 31 (03)
[6]   Neutrophil/lymphocyte ratio predicts chemotherapy outcomes in patients with advanced colorectal cancer [J].
Chua, W. ;
Charles, K. A. ;
Baracos, V. E. ;
Clarke, S. J. .
BRITISH JOURNAL OF CANCER, 2011, 104 (08) :1288-1295
[7]   Inflammation and cancer [J].
Coussens, LM ;
Werb, Z .
NATURE, 2002, 420 (6917) :860-867
[8]   Elevated preoperative neutrophil to lymphocyte ratio predicts risk of recurrence following curative resection for stage IIA colon cancer [J].
Ding, Pei-Rong ;
An, Xin ;
Zhang, Rong-Xin ;
Fang, Yu-Jing ;
Li, Li-Ren ;
Chen, Gong ;
Wu, Xiao-Jun ;
Lu, Zhen-Hai ;
Lin, Jun-Zhong ;
Kong, Ling-Heng ;
Wan, De-Sen ;
Pan, Zhi-Zhong .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2010, 25 (12) :1427-1433
[9]   Annual Report to the Nation on the Status of Cancer, 1975-2006, Featuring Colorectal Cancer Trends and Impact of Interventions (Risk Factors, Screening, and Treatment) to Reduce Future Rates [J].
Edwards, Brenda K. ;
Ward, Elizabeth ;
Kohler, Betsy A. ;
Eheman, Christie ;
Zauber, Ann G. ;
Anderson, Robert N. ;
Jemal, Ahmedin ;
Schymura, Maria J. ;
Lansdorp-Vogelaar, Iris ;
Seeff, Laura C. ;
van Ballegooijen, Marjolein ;
Goede, S. Luuk ;
Ries, Lynn A. G. .
CANCER, 2010, 116 (03) :544-573
[10]   Cancer incidence and mortality worldwide: Sources, methods and major patterns in GLOBOCAN 2012 [J].
Ferlay, Jacques ;
Soerjomataram, Isabelle ;
Dikshit, Rajesh ;
Eser, Sultan ;
Mathers, Colin ;
Rebelo, Marise ;
Parkin, Donald Maxwell ;
Forman, David ;
Bray, Freddie .
INTERNATIONAL JOURNAL OF CANCER, 2015, 136 (05) :E359-E386