Elevated High-Sensitivity C-Reactive Protein Levels Predict Decreased Survival for Nasopharyngeal Carcinoma Patients in the Intensity-Modulated Radiotherapy Era

Autor: Hai Qiang Mai, Xiao Ping Lai, Lin Quan Tang, Mu Sheng Zeng, Wen Hui Chen, Lu Zhang, Xiang Guo, Yun Xiu Xiu Xu, Yun He, Shi Hua Wen, Chao Nan Qian, Qiu Yan Chen, Yu Tuan Peng, Dong Peng Hu, Li Ting Liu, Shan Shan Guo
Rok vydání: 2015
Předmět:
Zdroj: PLoS ONE, Vol 10, Iss 4, p e0122965 (2015)
PLoS ONE
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0122965
Popis: Purpose This study aimed to clarify the prognostic utility of high-sensitivity C-reactive protein (hs-CRP) in nasopharyngeal carcinoma (NPC) patients in the Intensity-Modulated Radiotherapy (IMRT) era. Patients and Methods In this observational study, 1,589 non-metastatic NPC patients treated with IMRT were recruited. Blood samples were collected before treatment for examination of hs-CRP levels. We evaluated the association of pretreatment hs-CRP levels with overall survival rate (OS), progression free survival rate (PFS), locoregional relapse free survival rate (LRFS) and distant metastasis free survival rate (DMFS). Results Baseline hs-CRP levels were correlated with sex, clinical stage, body mass index, smoking status, and EBV DNA level. Multivariate analysis showed that hs-CRP had significant association with OS (HR:1.723; 95%CI:1.238–2.398; p = 0.001), PFS (HR:1.621; 95%CI:1.273–2.064; p
Databáze: OpenAIRE