Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma

Yu-Yuan Han,1,2 Kai-Hua Chen,1,2 Ying Guan,1 Li Chen,1,2 Man-Ru Lin,1 Si-Kai Nong,3 Xiao-Dong Zhu1– 3 1Department of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi 530021, People’s Republic of China; 2Guangxi Key Laboratory of Early Prevention an...

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Main Authors: Han YY, Chen KH, Guan Y, Chen L, Lin MR, Nong SK, Zhu XD
Format: Article
Language:English
Published: Dove Medical Press 2020-11-01
Series:Cancer Management and Research
Subjects:
Online Access:https://www.dovepress.com/predictive-value-of-some-inflammatory-indexes-in-the-survival-and-toxi-peer-reviewed-article-CMAR
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author Han YY
Chen KH
Guan Y
Chen L
Lin MR
Nong SK
Zhu XD
author_facet Han YY
Chen KH
Guan Y
Chen L
Lin MR
Nong SK
Zhu XD
author_sort Han YY
collection DOAJ
description Yu-Yuan Han,1,2 Kai-Hua Chen,1,2 Ying Guan,1 Li Chen,1,2 Man-Ru Lin,1 Si-Kai Nong,3 Xiao-Dong Zhu1– 3 1Department of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi 530021, People’s Republic of China; 2Guangxi Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor, Guangxi Medical University, Nanning, Guangxi 530021, People’s Republic of China; 3Department of Oncology, Wuming Hospital of Guangxi Medical University, Nanning, Guangxi 530199, People’s Republic of ChinaCorrespondence: Xiao-Dong ZhuDepartment of Radiation Oncology, Guangxi Medical University Cancer Hospital, 71 He Di Road, Nanning 530021, People’s Republic of ChinaTel +86 771 533 1466Email zhuxdonggxmu@126.comObjective: The present study aimed to investigate the predictive value of some inflammatory indexes, such as the ratio of C-reactive protein-to-albumin (CAR), high-sensitivity C-reactive protein-to-albumin (HCAR), C-reactive protein-to-lymphocyte (CLR), and high-sensitivity C-reactive protein-to-lymphocyte (HCLR) in the survival and toxicity of nasopharyngeal carcinoma and provide reference for the development of treatment.Methods: A retrospective analysis was conducted on 162 patients from 2013 to 2018. The value of the indexes before the treatment was calculated. SPSS 25.0 software was used for the analysis, and the cutoff values of the indexes were determined by the receiver operating characteristic curve (ROC). The prognostic value of the indexes was evaluated according to the overall survival rate (OS), progression-free survival rate (PFS), and the incidence of toxic side effects.Results: The index CLR was found to be the predictor of mortality of nasopharyngeal carcinoma but not the indicator for toxicity.Conclusion: The index CLR can be used for risk-stratification. However, whether the risk-stratification treatment based on these indicators can improve the prognosis subsequently needs further prospective study.Keywords: nasopharyngeal carcinoma, C-reactive protein/albumin ratio, high-sensitivity C-reactive protein/albumin ratio, C-reactive protein/lymphocyte ratio, high-sensitivity C-reactive protein/lymphocyte ratio, survival, toxicity
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spelling doaj.art-0dc5fe326d164b1ca066b7d8cde034cd2022-12-22T03:01:36ZengDove Medical PressCancer Management and Research1179-13222020-11-01Volume 12115411155159191Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal CarcinomaHan YYChen KHGuan YChen LLin MRNong SKZhu XDYu-Yuan Han,1,2 Kai-Hua Chen,1,2 Ying Guan,1 Li Chen,1,2 Man-Ru Lin,1 Si-Kai Nong,3 Xiao-Dong Zhu1– 3 1Department of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi 530021, People’s Republic of China; 2Guangxi Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor, Guangxi Medical University, Nanning, Guangxi 530021, People’s Republic of China; 3Department of Oncology, Wuming Hospital of Guangxi Medical University, Nanning, Guangxi 530199, People’s Republic of ChinaCorrespondence: Xiao-Dong ZhuDepartment of Radiation Oncology, Guangxi Medical University Cancer Hospital, 71 He Di Road, Nanning 530021, People’s Republic of ChinaTel +86 771 533 1466Email zhuxdonggxmu@126.comObjective: The present study aimed to investigate the predictive value of some inflammatory indexes, such as the ratio of C-reactive protein-to-albumin (CAR), high-sensitivity C-reactive protein-to-albumin (HCAR), C-reactive protein-to-lymphocyte (CLR), and high-sensitivity C-reactive protein-to-lymphocyte (HCLR) in the survival and toxicity of nasopharyngeal carcinoma and provide reference for the development of treatment.Methods: A retrospective analysis was conducted on 162 patients from 2013 to 2018. The value of the indexes before the treatment was calculated. SPSS 25.0 software was used for the analysis, and the cutoff values of the indexes were determined by the receiver operating characteristic curve (ROC). The prognostic value of the indexes was evaluated according to the overall survival rate (OS), progression-free survival rate (PFS), and the incidence of toxic side effects.Results: The index CLR was found to be the predictor of mortality of nasopharyngeal carcinoma but not the indicator for toxicity.Conclusion: The index CLR can be used for risk-stratification. However, whether the risk-stratification treatment based on these indicators can improve the prognosis subsequently needs further prospective study.Keywords: nasopharyngeal carcinoma, C-reactive protein/albumin ratio, high-sensitivity C-reactive protein/albumin ratio, C-reactive protein/lymphocyte ratio, high-sensitivity C-reactive protein/lymphocyte ratio, survival, toxicityhttps://www.dovepress.com/predictive-value-of-some-inflammatory-indexes-in-the-survival-and-toxi-peer-reviewed-article-CMARnasopharyngeal carcinomac-reactive protein/albumin ratiohigh-sensitivity c-reactive protein/albumin ratioc-reactive protein/lymphocyte ratiohigh-sensitivity c-reactive protein/lymphocyte ratiosurvivaltoxicity.
spellingShingle Han YY
Chen KH
Guan Y
Chen L
Lin MR
Nong SK
Zhu XD
Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma
Cancer Management and Research
nasopharyngeal carcinoma
c-reactive protein/albumin ratio
high-sensitivity c-reactive protein/albumin ratio
c-reactive protein/lymphocyte ratio
high-sensitivity c-reactive protein/lymphocyte ratio
survival
toxicity.
title Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma
title_full Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma
title_fullStr Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma
title_full_unstemmed Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma
title_short Predictive Value of Some Inflammatory Indexes in the Survival and Toxicity of Nasopharyngeal Carcinoma
title_sort predictive value of some inflammatory indexes in the survival and toxicity of nasopharyngeal carcinoma
topic nasopharyngeal carcinoma
c-reactive protein/albumin ratio
high-sensitivity c-reactive protein/albumin ratio
c-reactive protein/lymphocyte ratio
high-sensitivity c-reactive protein/lymphocyte ratio
survival
toxicity.
url https://www.dovepress.com/predictive-value-of-some-inflammatory-indexes-in-the-survival-and-toxi-peer-reviewed-article-CMAR
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