Prognostic value of preoperative systemic inflammation markers in localized upper tract urothelial cell carcinoma: a large, multicenter cohort analysis
- Authors
- Son, Sumin; Hwang, Eu-Chang; Jung, Scung-Il; Kwon, Dong-Deuk; Choi, Seock-Hwan; Kwon, Tae-Gyun; Noh, Joon-Hwa; Kim, Myung-Ki; Seo, Ill-Young; Kim, Chul-Sung; Kang, Sung-Gu; Cheon, Jun; Ha, Hong-Koo; Jeong, Chang-Wook; Ku, Ja-Hyeon; Kwak, Cheol; Kim, Hyeon-Hoe
- Issue Date
- 6월-2018
- Publisher
- EDIZIONI MINERVA MEDICA
- Keywords
- Inflammation; Prognosis; Carcinoma, transitional cell
- Citation
- MINERVA UROLOGICA E NEFROLOGICA, v.70, no.3, pp.300 - 309
- Indexed
- SCIE
SCOPUS
- Journal Title
- MINERVA UROLOGICA E NEFROLOGICA
- Volume
- 70
- Number
- 3
- Start Page
- 300
- End Page
- 309
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/75038
- DOI
- 10.23736/S0393-2249.18.02914-4
- ISSN
- 0393-2249
- Abstract
- BACKGROUND: The aim of this study was to investigate the prognostic value of preoperative systemic inflammation markers in upper tract urothelial carcinoma (UTUC). METHODS: A total of 1137 patients who underwent radical nephroureterectomy with bladder cuff excision at 9 institutions from 2004 to 2015, were retrospectively reviewed. The Glasgow Prognostic Score (GPS), modified GPS (mGPS), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) for each patient were calculated. Univariable and multivariable analysis was performed using the Cox proportional hazards regression model. Cut-off values for NLR and PLR were calculated using a receiver operating characteristic curve. RESULTS: The median follow-up period was 39.1 (interquartile range: 18.3-63.8) months. Univariable analysis revealed that GPS, mGPS, PLR, and NLR (all, P=0.001) were significantly associated with both recurrence-free survival (RFS) and cancer-specific survival (CSS). Multivariable analysts revealed that GPS (P=0.001), PLR (hazards ratio [HR] =1.32; 95% CI: 1.08-1.62, P=0.007 and HR =1.87; 95% CI: 1.21-2.92, P=0.005), NLR (HR =1.38; 95% CI: 1.12-1.69, P=0.003 and HR =1.70; 95% CI: 1.10-2.62, P=0.017) were significantly associated with RFS and CSS. CONCLUSIONS: Our results suggest that preoperative systemic inflammation markers such as GPS, PLR, and NLR are independent prognostic factors in patients with UTUC after surgery.
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