Wang Fan, Li Pei, Li Feng-Sen
Xinjiang Medical University, Urumqi.
Dushanzi People's Hospital, Kelamayi.
Medicine (Baltimore). 2019 Jul;98(29):e16064. doi: 10.1097/MD.0000000000016064.
This meta-analysis evaluates the prognosis value of C-reactive protein to albumin ratio (CAR) in colorectal cancer.
Embase, PubMed, and Web of Science were searched. Pooled hazard ratios (HRs) with their corresponding 95% confidence intervals (CIs) were used as effective values.
A total of 6 studies with 1942 patients were included in this study. Pooled results revealed that elevated pretreatment CAR was related with poorer overall survival (OS) (HR: 2.09, 95%CI: 1.78-2.45, P < .001) in colorectal cancer.
Elevated CAR was associated with poor prognosis in colorectal cancer. Thus CAR might be used as a prognostic system and classification of colorectal patients in clinical potential.
本荟萃分析评估C反应蛋白与白蛋白比值(CAR)在结直肠癌中的预后价值。
检索了Embase、PubMed和Web of Science数据库。将合并的风险比(HRs)及其相应的95%置信区间(CIs)用作有效数值。
本研究共纳入6项研究,涉及1942例患者。合并结果显示,结直肠癌患者治疗前CAR升高与较差的总生存期(OS)相关(HR:2.09,95%CI:1.78 - 2.45,P <.001)。
CAR升高与结直肠癌的不良预后相关。因此,CAR在临床上可能用作结直肠癌患者的预后系统和分类指标。