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Authors Guo J, Chen S, Chen Y, Li S, Xu D
Received 4 November 2017
Accepted for publication 19 December 2017
Published 14 February 2018 Volume 2018:10 Pages 315—321
DOI https://doi.org/10.2147/CMAR.S156071
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Colin Mak
Peer reviewer comments 4
Editor who approved publication: Professor Luzhe Sun
Objectives: C-reactive protein (CRP) and
neutrophil to lymphocyte ratio (NLR) were independent predictive factors for
gastric cancer (GC). Our study was designed to prove the prognostic value of
the combination of CRP and NLR (COC-NLR) in GC patients.
Materials and methods: A total of 1,058 GC patients who underwent D2
resection from Sun Yat-Sen University Cancer Center between 2003 and 2013 were
included. They were divided into three groups (low: NLR ≤2.5, CRP ≤6.1; medium:
NLR >2.5, CRP ≤4.5; high: NLR >2.5, CRP >4.5 or NLR ≤2.5, CRP >6.1)
by the random forest method. Survival analysis stratified by COC-NLR groups was
performed.
Results: The mean survival time for each group was: for the low
group 75.44 months (95% CI: 72.48–78.40), the medium group 56.50 months (95%
CI: 50.68–62.31), and the high group 38.65 months (95% CI: 34.51–42.97). The
low group showed obviously better overall survival (OS) than other two groups (p <0.001). Survival analysis
showed that COC-NLR had statistical significance in both univariate and
multivariate analyses (p <0.01).
Conclusion: This study showed that COC-NLR could work as an
independent prognostic factor in GC and provide more accurate prediction than
single NLR or CRP.
Keywords: inflammation
index, NLR, CRP, combination, prognosis, gastric cancer