中性粒细胞与淋巴细胞比值作为接受表皮生长因子受体酪氨酸激酶抑制剂治疗的非小细胞肺癌患者的预后参数:一项系统评价和荟萃分析

Neutrophil-Lymphocyte Ratio as a Prognostic Parameter in NSCLC Patients Receiving EGFR-TKIs: A Systematic Review and Meta-Analysis.

作者信息

Tang Mingbo, Gao Xinliang, Sun He, Tian Suyan, Dong Junxue, Liu Zhao, Liu Wei

机构信息

Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun 130021, Jilin, China.

Department of Division of Clinical Research, The First Hospital of Jilin University, Changchun 130021, Jilin, China.

出版信息

J Oncol. 2021 Jan 20;2021:6688346. doi: 10.1155/2021/6688346. eCollection 2021.

Abstract

OBJECTIVE

To research the impact of neutrophil-lymphocyte ratio (NLR) as a prognostic parameter in non-small-cell lung cancer (NSCLC) patients treated with epidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs).

METHODS

We searched the databases such as the American Society of Clinical Oncology (ASCO), EMBASE, PubMed, the European Society of Medical Oncology (ESMO), Wanfang, and CNKI for articles illustrating the impact of pretreatment NLR on survival data in NSCLC patients undergoing EGFR-TKIs treatment. We did a meta-analysis for overall survival (OS) and progression-free survival (PFS).

RESULTS

We recruited 10 studies in our meta-analysis. Our study suggested that patients with low NLR had better PFS (hazard ratio (HR) = 1.67, 95% confidence interval (CI) = (1.16-2.39), and value = 0.005) and OS (HR = 1.66, 95% CI = (1.08-2.55), and value = 0.02) in comparison to patients with high NLR.

CONCLUSION

In conclusion, our meta-analysis revealed that lower NLR predicted a better survival (PFS and OS) in patients receiving the treatment of EGFR-TKIs.

摘要

目的

研究中性粒细胞与淋巴细胞比值(NLR)作为接受表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKIs)治疗的非小细胞肺癌(NSCLC)患者预后参数的影响。

方法

我们检索了美国临床肿瘤学会(ASCO)、EMBASE、PubMed、欧洲医学肿瘤学会(ESMO)、万方和知网等数据库,以查找说明治疗前NLR对接受EGFR-TKIs治疗的NSCLC患者生存数据影响的文章。我们对总生存期(OS)和无进展生存期(PFS)进行了荟萃分析。

结果

我们的荟萃分析纳入了10项研究。我们的研究表明,与高NLR患者相比,低NLR患者的PFS更好(风险比(HR)=1.67,95%置信区间(CI)=(1.16-2.39),P值=0.005),OS也更好(HR=1.66,95%CI=(1.08-2.55),P值=0.02)。

结论

总之,我们的荟萃分析表明,较低的NLR预示着接受EGFR-TKIs治疗的患者有更好的生存(PFS和OS)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93fc/7840257/3ff5c6aa9f01/JO2021-6688346.001.jpg

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