Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Ann Med. 2023 Dec;55(1):1294-1307. doi: 10.1080/07853890.2023.2192047.
Inflammatory markers have a wide range of predictive values in the prognosis of non-small lung cancer (NSCLC). Poor nutritional status usually means a poor prognosis in patients with NSCLC, which is widely recognized by oncologists and nutritionists. Serum albumin has a certain value in evaluating the prognosis of patients. Several inflammatory albumin-related markers have been proposed, but they have not been widely used in predicting the prognosis of NSCLC in clinical practice. We aim to systematically review the published clinical evidence of albumin-related inflammatory markers in predicting the prognosis of NSCLC and to describe their progress and value. The results showed that the markers included in the review could be prognostic indicators in patients with NSCLC. However, we found that the cut-off value of albumin-related inflammatory markers with quantitative nature was very chaotic and needed to be defined by recognized standards. We summarized and compared the advantages and disadvantages of these markers, but a prospective cohort study with long-term follow-up after adjustment for important confounders is still necessary. Whether the results and conclusions could be directly applied in clinical practice needs to be identified and evaluated. There is an urgent need to classify and standardize the albumin-related inflammatory markers that play an important role in the prognosis of NSCLC, which is the key to ensuring the transformation from clinical study to clinical application.
炎症标志物在非小细胞肺癌(NSCLC)的预后中有广泛的预测价值。营养状况差通常意味着 NSCLC 患者的预后不良,这一点已被肿瘤学家和营养学家广泛认可。血清白蛋白在评估患者预后方面具有一定价值。已经提出了几种与炎症相关的白蛋白标志物,但它们尚未在 NSCLC 的临床预测预后中广泛应用。我们旨在系统地综述白蛋白相关炎症标志物在预测 NSCLC 预后方面的临床证据,并描述其进展和价值。结果表明,纳入本综述的标志物可以作为 NSCLC 患者的预后指标。然而,我们发现,具有定量性质的白蛋白相关炎症标志物的截断值非常混乱,需要用公认的标准来定义。我们总结并比较了这些标志物的优缺点,但仍需要进行具有长期随访的前瞻性队列研究,以调整重要混杂因素。这些结果和结论是否可以直接应用于临床实践尚需确定和评估。迫切需要对在 NSCLC 预后中起重要作用的白蛋白相关炎症标志物进行分类和标准化,这是确保从临床研究转化为临床应用的关键。