C 反应蛋白/白蛋白比值和全身免疫炎症指数对接受根治性切除术的结直肠癌肝转移患者的预后价值。
Prognostic Value of the C-Reactive Protein/Albumin Ratio and Systemic Immune-Inflammation Index for Patients With Colorectal Liver Metastasis Undergoing Curative Resection.
机构信息
Department of Colorectal Surgery, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
Department of Radiation Oncology, Peking University Shenzhen Hospital, Shenzhen, China.
出版信息
Pathol Oncol Res. 2021 Mar 24;27:633480. doi: 10.3389/pore.2021.633480. eCollection 2021.
We evaluated the prognostic value of C-reactive protein/albumin (CAR) and systemic immune-inflammation index (SII), which we calculated as neutrophil × platelet/lymphocyte) in patients with colorectal liver metastasis (CRLM) after curative resection. We retrospectively enrolled 283 consecutive patients with CRLM who underwent curative resection between 2006 and 2016. We determined the optimal cutoff values of CAR and SII using receiver operating curve (ROC) analysis. Overall survival (OS)- and recurrence-free survival (RFS)-related to CAR and SII were analyzed using the log-rank test and multivariate Cox regression methods. We found that a high CAR was significantly associated with poor OS (P < 0.001) and RFS (P = 0.008) rates compared with a low CAR; a high SII was significantly associated with poor RFS (P = 0.003) rates compared with a low SII. The multivariate analysis indicated that CAR was an independent predictor of OS (hazard ratio [HR] = 2.220; 95% confidence interval [CI] = 1.387-3.550; P = 0.001) and RFS (HR = 1.494; 95% CI = 1.086-2.056; P = 0.014). The SII was an independent predictor of RFS (HR = 1.973; 95% CI = 1.230-3.162; P = 0.005) in patients with CRLM. We proved that CAR was an independent predictor of OS and RFS in patients with CRLM who underwent curative resection, and that the prognostic value of CAR was superior to that of SII.
我们评估了 C 反应蛋白/白蛋白(CAR)和全身性免疫炎症指数(SII)在根治性切除术后结直肠癌肝转移(CRLM)患者中的预后价值。我们回顾性纳入了 2006 年至 2016 年间接受根治性切除的 283 例连续 CRLM 患者。我们使用接受者操作特征(ROC)曲线分析确定 CAR 和 SII 的最佳截断值。使用对数秩检验和多变量 Cox 回归方法分析与 CAR 和 SII 相关的总生存期(OS)和无复发生存期(RFS)。我们发现,与低 CAR 相比,高 CAR 与较差的 OS(P < 0.001)和 RFS(P = 0.008)率显著相关;与低 SII 相比,高 SII 与较差的 RFS(P = 0.003)率显著相关。多变量分析表明,CAR 是 OS(危险比[HR] = 2.220;95%置信区间[CI] = 1.387-3.550;P = 0.001)和 RFS(HR = 1.494;95% CI = 1.086-2.056;P = 0.014)的独立预测因子。SII 是 CRLM 患者 RFS 的独立预测因子(HR = 1.973;95% CI = 1.230-3.162;P = 0.005)。我们证明 CAR 是接受根治性切除术的 CRLM 患者 OS 和 RFS 的独立预测因子,CAR 的预后价值优于 SII。