Diagnostic value of the blood monocyte-lymphocyte ratio in knee osteoarthritis

Objective Knee osteoarthritis (KOA) is a chronic inflammatory disease. The monocyte-lymphocyte ratio (MLR) was reported to be a non-invasive, cost-effective marker in various systemic diseases, but it has not yet been investigated in KOA. This cross-sectional study evaluated the diagnostic value of MLR in KOA. Methods Two hundred and five KOA patients and 120 healthy control subjects were enrolled. Patient data, including age, sex, blood cell counts, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP) levels, red blood cell distribution width, and the Kellgren-Lawrence (KL) score were recorded. Results One hundred nineteen patients (55 men, 64 women) were included, with a mean age of 55.47 +/- 9.23 years. KOA patients showed a significantly higher MLR, neutrophil-lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) than controls. The MLR area under the curve was 0.81, which was higher than that of NLR and PLR. Multiple logistic regression analysis revealed blood MLR as an independent predictor of KOA. Correlation analysis showed that MLR was positively correlated with ESR and CRP levels. MLR and NLR were significantly higher in KL4 patients than in KL1-3 patients. Conclusions MLR has a high diagnostic value for KOA, so could be a reliable disease marker.