Journals / Eurasian Journal of Medical Investigation / 2021 / Cilt: 5 - Sayı: 2

Prognostic Impact of Prognostic Nutritional Index andNeutrophil/Lymphocyte Ratio in Patients with Small-CellLung Cancer

Pages
207–212
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Based on the results of the present study, it can be recommended to use PNI and NLR as independentprognostic markers for overall survival for patients with SCLC.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Small-cell lung cancer (SCLC) is approximately 20% of total lung cancer cases.
📊
Key Findings & Data:A lot of prognostic factorshave been identified in SCLC; however, new prognostic factors, which are separately assessed because of the frequencyof the disease, rapid progression, and high mortality, are also required.
💡
Conclusion & Impact:Conclusion: Based on the results of the present study, it can be recommended to use PNI and NLR as independentprognostic markers for overall survival for patients with SCLC.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objectives: Small-cell lung cancer (SCLC) is approximately 20% of total lung cancer cases. A lot of prognostic factorshave been identified in SCLC; however, new prognostic factors, which are separately assessed because of the frequencyof the disease, rapid progression, and high mortality, are also required. Several recent studies have demonstrated thatpretreatment prognostic nutritional index (PNI) and neutrophil/lymphocyte ratio (NLR) is associated with the prognosisin various malignancies. Methods: Patients with SCLC were enrolled in the study. The patient's pretreatment characteristics, hemoglobin, lym phocyte-neutrophil count, C-reactive protein, platelet, and albumin levels were recorded. The PNI was calculated basedon the serum albumin concentration and peripheral blood lymphocyte count ([Albuminx10]+[Lymphocytex0.005]).NLR was calculated as peripheral neutrophil counts/lymphocyte counts. Results: Out of 81 patients, nine were female, while 72 patients were male. There was a significant survival differencebetween groups when patients divided into two groups with a cut-off value of 40 and 3.5 in terms of PNI and NLR,respectively. The median survivals were 3 and 13 months in low and high PNI groups, respectively. Conclusion: Based on the results of the present study, it can be recommended to use PNI and NLR as independentprognostic markers for overall survival for patients with SCLC.

🔖

Cite This Article

BEYPINAR, İ., GÖKSU, S. S., SÖZEL, H. (2022). Prognostic Impact of Prognostic Nutritional Index andNeutrophil/Lymphocyte Ratio in Patients with Small-CellLung Cancer. Eurasian Journal of Medical Investigation, Cilt: 5 - Sayı: 2, 207–212. https://ajindex.com/articles/508613

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2019. CA Cancer J Clin 2019;69:7–34
  2. Pietanza MC, Byers LA, Minna JD, Rudin CM. Small cell lung cancer: Will recent progress lead to improved outcomes? Clin Cancer Res 2015;21:2244–55
  3. Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin 2011;61:69–90
  4. Gail MH, Eagan RT, Feld R, Ginsberg R, Goodell B, Hill L, et al. Prognostic factors in patients with resected stage I non-small cell lung cancer. A report from the Lung Cancer Study Group. Cancer 1984;54:1802–13
  5. Gu X, Ma C, Yuan D, Song Y. Circulating soluble intercellular adhesion molecule-1 in lung cancer: A systematic review. Transl Lung Cancer Res 2012;1:36–44
  6. Tanner NT, Sherman CA, Silvestri GA. Biomarkers in the selection of maintenance therapy in non-small cell lung cancer. Transl lung cancer Res 2012;1:96–8
  7. Donnem T, Bremnes RM, Busund L-T, Andersen S, Pezzella F. Gene expression assays as prognostic and predictive markers in early stage non-small cell lung cancer. J Thorac Dis 2012;4:212–3
  8. Candido J, Hagemann T. Cancer-related inflammation. J Clin Immunol 2013;33:S79–84
  9. Sapienza C, Issa J-P. Diet, nutrition, and cancer epigenetics. Annu Rev Nutr 2016;36:665–81
  10. Onodera T, Goseki N, Kosaki G. Prognostic nutritional index in gastrointestinal surgery of malnourished cancer patients. Nihon Geka Gakkai Zasshi 1984;85:1001–5
  11. Chen P, Wang C, Cheng B, Nesa EU, Liu Y, Jia Y, et al. Plasma fibrinogen and serum albumin levels (FA score) act as a promising prognostic indicator in non-small cell lung cancer. Onco Targets Ther 2017;10:3107–18
  12. Hirahara N, Tajima Y, Fujii Y, Kaji S, Yamamoto T, Hyakudomi R, et al. Preoperative prognostic nutritional index predicts longterm surgical outcomes in patients with esophageal squamous cell carcinoma. World J Surg 2018;42:2199–208
  13. Hong S, Zhou T, Fang W, Xue C, Hu Z, Qin T, et al. The prognostic nutritional index (PNI) predicts overall survival of small-cell lung cancer patients. Tumour Biol 2015;36:3389–97
  14. Nakatani M, Migita K, Matsumoto S, Wakatsuki K, Ito M, Nakade H, et al. Prognostic significance of the prognostic nutritional index in patients with recurrent esophageal squamous cell carcinoma. Nutr Cancer 2018;70:467–73
  15. Sun K, Chen S, Xu J, Li G, He Y. The prognostic significance of the prognostic nutritional index in cancer: A systematic review and meta-analysis. J Cancer Res Clin Oncol 2014;140:1537–49.