Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer
<b>Objective: </b> Cancer-associated inflammation and coagulation cascades play vital roles in cancer progression and survival. In this study, we investigated the significance of the combination of preoperative fibrinogen and the neutrophil-to-lymphocyte ratio (NLR) in predicting the sur...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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China Anti-Cancer Association
2018-03-01
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| Series: | Cancer Biology & Medicine |
| Subjects: | |
| Online Access: | http://www.cancerbiomed.org/index.php/cocr/article/view/1094 |
| _version_ | 1819092280815910912 |
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| author | Wuhao Huang Shengguang Wang Hua Zhang Bin Zhang Changli Wang |
| author_facet | Wuhao Huang Shengguang Wang Hua Zhang Bin Zhang Changli Wang |
| author_sort | Wuhao Huang |
| collection | DOAJ |
| description | <b>Objective: </b> Cancer-associated inflammation and coagulation cascades play vital roles in cancer progression and survival. In this study, we investigated the significance of the combination of preoperative fibrinogen and the neutrophil-to-lymphocyte ratio (NLR) in predicting the survival of patients with non-small cell lung cancer (NSCLC). <b>Methods: </b> We retrospectively enrolled 589 patients with NSCLC who underwent surgery. The univariate and multivariate Cox survival analyses were used to evaluate the prognostic indicators, including the combination of fibrinogen and NLR (F-NLR). The cut-off values for fibrinogen, NLR, and clinical laboratory variables were defined by the receiver operating characteristic (ROC) curve analysis. According to the ROC curve, the recommended cut-off values for fibrinogen and the NLR were 3.48 g/L and 2.30, respectively. Patients with both a high NLR (≥ 2.30) and hyperfibrinogenemia (≥ 3.48 g/L) were given a score of 2, whereas those with one or neither were scored as 1 or 0, respectively. <b>Results: </b> Our results showed that F-NLR was an independent prognostic indicator for disease-free survival (DFS) [hazard ratio (HR), 1.466; 95% confidence interval (CI), 1.243–1.730; <i>P</i> < 0.001] and overall survival (OS) (HR, 1.512; 95% CI, 1.283–1.783; <i>P</i> < 0.001). The five-year OS rates were 66.1%, 53.5%, and 33.3% for the F-NLR = 0, F-NLR = 1, and F-NLR = 2, respectively (<i>P</i> < 0.001). Correspondingly, their five-year DFS rates were 62.2%, 50.3%, and 30.4%, respectively (<i>P</i> < 0.001). In the subgroup analyses of the pathological stages, the F-NLR level was significantly correlated with DFS and OS in stage I and IIIA cancers. <b>Conclusions: </b> Preoperative F-NLR score can be used as a valuable prognostic marker for patients with resectable early-stage NSCLC. |
| first_indexed | 2024-12-21T22:53:07Z |
| format | Article |
| id | doaj.art-01daaf3a9d8d4726a8d26f751099e143 |
| institution | Directory Open Access Journal |
| issn | 2095-3941 2095-3941 |
| language | English |
| last_indexed | 2024-12-21T22:53:07Z |
| publishDate | 2018-03-01 |
| publisher | China Anti-Cancer Association |
| record_format | Article |
| series | Cancer Biology & Medicine |
| spelling | doaj.art-01daaf3a9d8d4726a8d26f751099e1432022-12-21T18:47:30ZengChina Anti-Cancer AssociationCancer Biology & Medicine2095-39412095-39412018-03-01151889610.20892/j.issn.2095-3941.2017.01242017000124Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancerWuhao HuangShengguang WangHua Zhang0Bin Zhang1Changli Wang2Department of Lung Cancer, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Ministry of Education, Tianjin’s Clinical Research Center for Cancer; Tianjin Lung Cancer Center, Tianjin 300060, ChinaDepartment of Lung Cancer, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Ministry of Education, Tianjin’s Clinical Research Center for Cancer; Tianjin Lung Cancer Center, Tianjin 300060, ChinaDepartment of Lung Cancer, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer; Key Laboratory of Cancer Prevention and Therapy, Ministry of Education, Tianjin’s Clinical Research Center for Cancer; Tianjin Lung Cancer Center, Tianjin 300060, China<b>Objective: </b> Cancer-associated inflammation and coagulation cascades play vital roles in cancer progression and survival. In this study, we investigated the significance of the combination of preoperative fibrinogen and the neutrophil-to-lymphocyte ratio (NLR) in predicting the survival of patients with non-small cell lung cancer (NSCLC). <b>Methods: </b> We retrospectively enrolled 589 patients with NSCLC who underwent surgery. The univariate and multivariate Cox survival analyses were used to evaluate the prognostic indicators, including the combination of fibrinogen and NLR (F-NLR). The cut-off values for fibrinogen, NLR, and clinical laboratory variables were defined by the receiver operating characteristic (ROC) curve analysis. According to the ROC curve, the recommended cut-off values for fibrinogen and the NLR were 3.48 g/L and 2.30, respectively. Patients with both a high NLR (≥ 2.30) and hyperfibrinogenemia (≥ 3.48 g/L) were given a score of 2, whereas those with one or neither were scored as 1 or 0, respectively. <b>Results: </b> Our results showed that F-NLR was an independent prognostic indicator for disease-free survival (DFS) [hazard ratio (HR), 1.466; 95% confidence interval (CI), 1.243–1.730; <i>P</i> < 0.001] and overall survival (OS) (HR, 1.512; 95% CI, 1.283–1.783; <i>P</i> < 0.001). The five-year OS rates were 66.1%, 53.5%, and 33.3% for the F-NLR = 0, F-NLR = 1, and F-NLR = 2, respectively (<i>P</i> < 0.001). Correspondingly, their five-year DFS rates were 62.2%, 50.3%, and 30.4%, respectively (<i>P</i> < 0.001). In the subgroup analyses of the pathological stages, the F-NLR level was significantly correlated with DFS and OS in stage I and IIIA cancers. <b>Conclusions: </b> Preoperative F-NLR score can be used as a valuable prognostic marker for patients with resectable early-stage NSCLC.http://www.cancerbiomed.org/index.php/cocr/article/view/1094Non-small cell lung cancerneutrophil-to-lymphocyte ratiofibrinogen; prognosis |
| spellingShingle | Wuhao Huang Shengguang Wang Hua Zhang Bin Zhang Changli Wang Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer Cancer Biology & Medicine Non-small cell lung cancer neutrophil-to-lymphocyte ratio fibrinogen; prognosis |
| title | Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer |
| title_full | Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer |
| title_fullStr | Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer |
| title_full_unstemmed | Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer |
| title_short | Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer |
| title_sort | prognostic significance of combined fibrinogen concentration and neutrophil to lymphocyte ratio in patients with resectable non small cell lung cancer |
| topic | Non-small cell lung cancer neutrophil-to-lymphocyte ratio fibrinogen; prognosis |
| url | http://www.cancerbiomed.org/index.php/cocr/article/view/1094 |
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