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中性粒细胞与淋巴细胞比值和血小板与淋巴细胞比值作为局限期小细胞肺癌的预后生物标志物:一项荟萃分析。

Neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios as prognostic biomarkers in limited-stage small-cell lung cancer: a meta-analysis.

机构信息

Department of Thoracic Oncology, Jilin Cancer Hospital, Changchun 130000, China.

Clinical Research Big Data Center, Jilin Cancer Hospital, Changchun 130000, China.

出版信息

Future Oncol. 2023 Jun;19(18):1303-1314. doi: 10.2217/fon-2022-0523. Epub 2023 Jun 5.

DOI:10.2217/fon-2022-0523
PMID:37272402
Abstract

The role of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) as prognostic markers in limited-stage small-cell lung cancer (LS-SCLC) remains controversial. Using pooled hazard ratios (HR) with 95% CIs, we assessed the correlation of pre-treatment NLR and PLR with overall survival (OS) and progression-free survival (PFS) in LS-SCLC. Publication bias was assessed by Begg's and Egger's tests. Ten studies were enrolled in our meta-analysis. Pooled analyses showed that pre-treatment high NLR was significantly associated with poor OS (HR: 1.80) and PFS (HR: 1.69) in LS-SCLC patients. High pre-treatment PLR was also associated with shorter OS (HR: 1.52) and PFS (HR: 1.39) in LS-SCLC patients. Our meta-analysis suggests that high pre-treatment NLR or PLR may be negatively related to OS and PFS in LS-SCLC.

摘要

中性粒细胞与淋巴细胞比值(NLR)和血小板与淋巴细胞比值(PLR)作为局限期小细胞肺癌(LS-SCLC)的预后标志物的作用仍存在争议。我们使用合并危险比(HR)及其 95%置信区间(CI)评估了 LS-SCLC 患者治疗前 NLR 和 PLR 与总生存期(OS)和无进展生存期(PFS)的相关性。通过 Begg 和 Egger 检验评估发表偏倚。我们的荟萃分析纳入了 10 项研究。合并分析表明,LS-SCLC 患者治疗前高 NLR 与 OS(HR:1.80)和 PFS(HR:1.69)不良显著相关。高 PLR 也与 LS-SCLC 患者的 OS(HR:1.52)和 PFS(HR:1.39)较短有关。我们的荟萃分析表明,LS-SCLC 患者治疗前高 NLR 或 PLR 可能与 OS 和 PFS 呈负相关。

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