Could lymphocyte to C‐reactive protein ratio predict the prognosis in patients with gastric cancer?

2021 ◽  
Author(s):  
Yavuz Selim Angin ◽  
Murat Yildirim ◽  
Fatih Dasiran ◽  
Ismail Okan

In Vivo ◽  
2021 ◽  
Vol 36 (1) ◽  
pp. 482-489
Author(s):  
TORU AOYAMA ◽  
MASATO NAKAZANO ◽  
SHINSUKE NAGASAWA ◽  
KENTARO HARA ◽  
KEISUKE KOMORI ◽  
...  


2020 ◽  
Vol 39 (4) ◽  
pp. 1209-1217 ◽  
Author(s):  
Yoshinaga Okugawa ◽  
Yuji Toiyama ◽  
Akira Yamamoto ◽  
Tsunehiko Shigemori ◽  
Takashi Ichikawa ◽  
...  


2020 ◽  
Vol 50 (10) ◽  
pp. 1141-1149 ◽  
Author(s):  
Chuan-bing Cheng ◽  
Qu-xia Zhang ◽  
Lv-Ping Zhuang ◽  
Jian-wei Sun

Abstract Objective The immune inflammation-based score is recognized as a prognostic marker for cancer. However, the most accurate prognostic marker for patients with gastric cancer remains undetermined. We aimed to evaluate the predictive value of the lymphocyte-to-C-reactive protein ratio for outcomes in gastric cancer patients after radical gastrectomy. Methods A total of 607 gastric cancer patients treated at three Chinese institutions were included. Receiver operating characteristic curves were generated, and the areas under the curve were calculated to compare the predictive value among the inflammation-based score, lymphocyte-to-C-reactive protein ratio, C-reactive protein/albumin and neutrophil-lymphocyte, platelet-lymphocyte and lymphocyte-monocyte ratios. Cox regression was performed to determine the prognostic factors for overall survival. Results The median follow-up time was 63 months (range: 1–84 months). The optimal cut-off value for lymphocyte-to-C-reactive protein ratio was 0.63. The patients were divided into the LCR <0.63 (LLCR, n = 294) group and the LCR ≥0.63 (HLCR, n = 313) group. LLCR was significantly correlated with poor clinical characteristics. Compared with inflammation-based score, lymphocyte-to-C-reactive protein ratio had the highest areas under the curve (0.695). Patients with LLCR experienced more post-operative complications than the HLCR group (20.4 vs. 12.1%, P = 0.006). Multivariate analysis showed that a higher lymphocyte-to-C-reactive protein ratio (HR: 0.545, 95%CI: 0.372–0.799, P = 0.002) was associated with better overall survival. The HLCR group had higher 5-year overall survival rate than the LLCR group (80.5 vs. 54.9%, P < 0.001). Conclusions Preoperative lymphocyte-to-C-reactive protein ratio levels can effectively predict the short-term and oncological efficacy of gastric cancer patients after radical gastrectomy with a predictive value significantly better than other inflammation-based score.



2021 ◽  
pp. 1-9
Author(s):  
Murat Yildirim ◽  
Bulent Koca

BACKGROUND: Lymphocyte-to-C-reactive protein ratio (LCR) has been used as a post-surgical prognostic biomarker in patients with gastric and colorectal cancer. However, its relationship with early postoperative complications in these patients is unknown. In this study, we aimed to reveal the relationship between LCR and postoperative complications. METHODS: Eighty-one patients operated for stomach and colorectal cancer between January 2020 and August 2020 were prospectively analyzed. On preoperative and postoperative days 1, 3 and 5, other inflammatory parameters, mainly LCR, neutrophil lymphocyte ratio (NLR), were recorded. The patients were divided into two groups according to Clavien-Dindo classification as stage III and higher complications major, stage I-II/non-complication minor. RESULTS: Fifty seven patients were operated for colorectal cancer, 24 patients for gastric cancer. The mean age of the patients was 65.6 ± 12.6, 34.6% of them was women. Age, operation time and hospital stay were significantly different between the groups (p= 0.004, p= 0.002, p< 0.001). Major complications developed in 18 patients. On postoperative day 5, LCR found superior diagnostic accuracy in predicting major postoperative complications compared to other inflammatory markers. On the postoperative 5th day, the cut-off value of LCR was 0.0034, 88.8% (71.9–94.8) sensitivity, and 85.7% (73.6–95.4) selectivity. CONCLUSION: Among different inflammatory markers, postoperative LCR is a safe and effective predictor of postoperative complications, especially after gastric and colorectal cancer surgery on day 5.



BMC Cancer ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Mian-Tao Wu ◽  
Su-Yin He ◽  
Shu-Lin Chen ◽  
Lin-Fang Li ◽  
Zheng-Qiang He ◽  
...  


2015 ◽  
Vol 19 (1) ◽  
pp. 293-301 ◽  
Author(s):  
Yuji Shishido ◽  
Kazumasa Fujitani ◽  
Kazuyoshi Yamamoto ◽  
Motohiro Hirao ◽  
Toshimasa Tsujinaka ◽  
...  


2020 ◽  
Vol 31 ◽  
pp. S1296
Author(s):  
L-L. Shen ◽  
Y-H. Tang ◽  
W-W. Qiu ◽  
J. Lu ◽  
C-H. Zheng ◽  
...  


Medicine ◽  
2020 ◽  
Vol 99 (10) ◽  
pp. e19362
Author(s):  
Xuanxuan Yang ◽  
Xing Song ◽  
Luo Zhang ◽  
Changping Wu


BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Hiroaki Tanaka ◽  
Tatsuro Tamura ◽  
Takahiro Toyokawa ◽  
Kazuya Muguruma ◽  
Naoshi Kubo ◽  
...  


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