Systemic immune-inflammation index predicts the clinical outcome in patients with nasopharyngeal carcinoma: a propensity score-matched analysis

被引:48
|
作者
Jiang, Wenjie [1 ]
Chen, Yuan [1 ]
Huang, Jin [1 ]
Xi, Dan [1 ]
Chen, Jun [2 ]
Shao, Yingjie [1 ]
Xu, Guoping [1 ]
Ying, Wenming [1 ]
Wei, Jun [1 ]
Chen, Junjun [1 ]
Ning, Zhonghua [1 ]
Gu, Wendong [1 ]
Pei, Honglei [1 ]
机构
[1] Soochow Univ, Affiliated Hosp 3, Dept Radiat Oncol, Changzhou 213003, Peoples R China
[2] Seventh Peoples Hosp Changzhou, Dept Resp, Changzhou 213000, Peoples R China
关键词
SII; nasopharyngeal carcinoma; prognosis; PSM; PRETREATMENT HEMATOLOGIC MARKERS; NEUTROPHIL-LYMPHOCYTE RATIO; PROGNOSTIC-FACTORS; CANCER-CELLS;
D O I
10.18632/oncotarget.19796
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Systemic immune-inflammation index (SII), based on peripheral lymphocyte, neutrophil, and platelet counts, was recently investigated as a prognostic marker in several tumors. However, SII has not been reported in nasopharyngeal carcinoma (NPC). We evaluated the prognostic value of the SII in 327 patients with NPC. Univariate and multivariate analyses were calculated by the Cox proportional hazards regression model. The time-dependent receiver operating characteristics (ROC) curve was used to compare the discrimination ability for OS. PSM (propensity score matching) was carried out to imbalance the baseline characteristics. Our results showed that SII, PLR, NLR and MLR were all associated with OS in NPC patients in the Kaplan-Meier survival analysis. SII (HR: 2.26; 95% CI: 1.40-3.66; P=0.001), NLR (HR: 1.66; 95% CI: 1.08-2.53; P=0.020), and MLR (HR: 1.99; 95% CI: 1.17-3.39; P=0.011) were identified to be the independent prognostic factors. The AUC for SII was bigger than NLR, PLR and MLR for predicting survival in patients with NPC in 3 or 5-years. In the PSM analysis, SII remained an independent predictor for OS in NPC patients (HR=2.08, CI 1.22-3.55, P=0.007). SII is a novel, simple and inexpensive prognostic predictor for patients with NPC. The prognostic value of SII is superior to PLR, NLR and MLR.
引用
收藏
页码:66075 / 66086
页数:12
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