Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?

Objective:Non-muscle invasive bladder cancer (NMIBC) accounts for 75% of all bladder cancer cases. Several models to predict relapses and progression have been developed. We aimed to determine the predictive value of the neutrophil-lymphocyte ratio (NLR) for recurrence and/or progression of the dise...

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Main Author: Aykut Başer
Format: Article
Language:English
Published: Galenos Yayinevi 2020-12-01
Series:Journal of Urological Surgery
Subjects:
Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/does-the-decrease-in-neutrophil-lymphocyte-ratio-a/42817
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author Aykut Başer
author_facet Aykut Başer
author_sort Aykut Başer
collection DOAJ
description Objective:Non-muscle invasive bladder cancer (NMIBC) accounts for 75% of all bladder cancer cases. Several models to predict relapses and progression have been developed. We aimed to determine the predictive value of the neutrophil-lymphocyte ratio (NLR) for recurrence and/or progression of the disease.Materials and Methods:Seventy patients with high-risk NMIBC according to the European Organization for Research and Treatment of Cancer (EORTC) risk classification who were receiving Bacillus Calmette-Guerin (BCG) treatment and were followed up at our clinic were included in the study.Results:The average score level and NLR values differed significantly on patient classification according to the EORTC Progression and Recurrence Risk score. The positive correlations among EORTC Recurrence score, EORTC Progression score, Club Urológico Espanol de Tratamiento Oncológico (CUETO) Recurrence score, and CUETO Progression score and NLR values were not statistically significant. The NLR values decreased significantly on follow-ups on BCG treatment.Conclusion:Patients with bladder cancer have a high NLR, which has predictive utility with regard to prognosis. A decrease in NLR with BCG treatment is indicative of the decreased likelihood of recurrence and progression.
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spelling doaj.art-07f5e311ea464026baa2630d9ceecd762023-02-15T16:16:17ZengGalenos YayineviJournal of Urological Surgery2148-95802148-95802020-12-017427127510.4274/jus.galenos.2020.334213049054Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?Aykut Başer0 Hitit University Faculty of Medicine, Department of Urology, Çorum, Turkiye Objective:Non-muscle invasive bladder cancer (NMIBC) accounts for 75% of all bladder cancer cases. Several models to predict relapses and progression have been developed. We aimed to determine the predictive value of the neutrophil-lymphocyte ratio (NLR) for recurrence and/or progression of the disease.Materials and Methods:Seventy patients with high-risk NMIBC according to the European Organization for Research and Treatment of Cancer (EORTC) risk classification who were receiving Bacillus Calmette-Guerin (BCG) treatment and were followed up at our clinic were included in the study.Results:The average score level and NLR values differed significantly on patient classification according to the EORTC Progression and Recurrence Risk score. The positive correlations among EORTC Recurrence score, EORTC Progression score, Club Urológico Espanol de Tratamiento Oncológico (CUETO) Recurrence score, and CUETO Progression score and NLR values were not statistically significant. The NLR values decreased significantly on follow-ups on BCG treatment.Conclusion:Patients with bladder cancer have a high NLR, which has predictive utility with regard to prognosis. A decrease in NLR with BCG treatment is indicative of the decreased likelihood of recurrence and progression. http://jurolsurgery.org/archives/archive-detail/article-preview/does-the-decrease-in-neutrophil-lymphocyte-ratio-a/42817 non-muscle invasive bladder cancerneutrophil-lymphocyte ratiobcg treatmenteortc risk classificationprogressionrecurrence
spellingShingle Aykut Başer
Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?
Journal of Urological Surgery
non-muscle invasive bladder cancer
neutrophil-lymphocyte ratio
bcg treatment
eortc risk classification
progression
recurrence
title Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?
title_full Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?
title_fullStr Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?
title_full_unstemmed Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?
title_short Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?
title_sort does the decrease in neutrophil lymphocyte ratio after bcg treatment be a prognostic marker for nmibc
topic non-muscle invasive bladder cancer
neutrophil-lymphocyte ratio
bcg treatment
eortc risk classification
progression
recurrence
url http://jurolsurgery.org/archives/archive-detail/article-preview/does-the-decrease-in-neutrophil-lymphocyte-ratio-a/42817
work_keys_str_mv AT aykutbaser doesthedecreaseinneutrophillymphocyteratioafterbcgtreatmentbeaprognosticmarkerfornmibc