Prognostic performance of pre-treatment NLR and PLR in patients suffering from osteosarcoma

Autor: Jun Su, Zhi Li Liu, Wen Kai Xia, Qing Feng Lin, Dong Shen, Wei Dong Mao
Rok vydání: 2016
Předmět:
Zdroj: World Journal of Surgical Oncology
ISSN: 1477-7819
DOI: 10.1186/s12957-016-0889-2
Popis: Background Inflammatory response markers have been proposed to predict the clinical outcomes in various cancers. The aim of this study was to explore the influence of the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) on the prognosis of osteosarcoma. Methods Three hundred fifty-nine patients who underwent curative surgery for osteosarcoma were enrolled from 2005 to 2010. NLR and PLR were calculated from peripheral blood cell counts taken at pre-treatment. Optimal cutoff values of NLR and PLR were determined on the basis of receiver operating characteristic curve analysis. A predictive model was established to predict the clinical outcome for overall survival, and the predictive accuracy of this model was determined by concordance index (c-index). Results Our results showed that advanced stage and metastasis at diagnosis were significantly associated with the high NLR and PLR groups. NLR was an independent prognostic indicator for overall survival (HR = 1.80, 95 % CI = 1.35–2.41, P
Databáze: OpenAIRE