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• Can neutrophil-to-lymphocyte ratio predict the survival of colorectal cancer patients who have received curative surgery electively?

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         headline:Initial neutrophil lymphocyte ratio is superior to platelet lymphocyte ratio as an adverse prognostic and predictive factor in metastatic colorectal cancer
         description:The prognostic, especially predictive, values of inflammation indexes in advanced colorectal cancer were not established. Therefore, the both values of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in patients with initially metastatic colorectal cancer (mCRC) were investigated and compared. Samples were collected from 243 patients who were initially diagnosed with mCRC between 2005 and 2010 in the Sun Yat-sen University Cancer Center. Elevated NLR (p < 0.001), PLR (p = 0.008), and CEA (p < 0.001) were identified as statistically significant poor prognostic factors for overall survival (OS), while only NLR (p = 0.029) and CEA (p < 0.001) were validated as independent predictors. Univariate analysis identified elevated NLR (p < 0.001), PLR (p = 0.023), and CEA (p < 0.001) as statistically significant poor predict factors for the progression-free survival (PFS) of first-line chemotherapy, while NLR (p = 0.013) and CEA (p = 0.001) were independent. In addition, we observed significantly different OS (p < 0.001) and PFS (p < 0.001) among patients who had elevations in both NLR and CEA levels and those having one elevation or neither elevation. NLR, PLR, and CEA were significant predictors of OS and PFS in mCRC. However, only NLR and CEA play as independent. When coupled with CEA, NLR may lead to improved prognostic predictors.
         datePublished:2013-01-10T00:00:00Z
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      headline:Initial neutrophil lymphocyte ratio is superior to platelet lymphocyte ratio as an adverse prognostic and predictive factor in metastatic colorectal cancer
      description:The prognostic, especially predictive, values of inflammation indexes in advanced colorectal cancer were not established. Therefore, the both values of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in patients with initially metastatic colorectal cancer (mCRC) were investigated and compared. Samples were collected from 243 patients who were initially diagnosed with mCRC between 2005 and 2010 in the Sun Yat-sen University Cancer Center. Elevated NLR (p < 0.001), PLR (p = 0.008), and CEA (p < 0.001) were identified as statistically significant poor prognostic factors for overall survival (OS), while only NLR (p = 0.029) and CEA (p < 0.001) were validated as independent predictors. Univariate analysis identified elevated NLR (p < 0.001), PLR (p = 0.023), and CEA (p < 0.001) as statistically significant poor predict factors for the progression-free survival (PFS) of first-line chemotherapy, while NLR (p = 0.013) and CEA (p = 0.001) were independent. In addition, we observed significantly different OS (p < 0.001) and PFS (p < 0.001) among patients who had elevations in both NLR and CEA levels and those having one elevation or neither elevation. NLR, PLR, and CEA were significant predictors of OS and PFS in mCRC. However, only NLR and CEA play as independent. When coupled with CEA, NLR may lead to improved prognostic predictors.
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               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
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            type:Organization
      name:Chang Jiang
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:Sun Yat-sen University Cancer Center
            address:
               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      name:Fang Wang
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:The First Affiliated Hospital of Sun Yat-sen University
            address:
               name:Tumor Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      name:Huijuan Qiu
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:Sun Yat-sen University Cancer Center
            address:
               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      name:Xuxian Chen
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:Sun Yat-sen University Cancer Center
            address:
               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      name:Ruming Rong
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:Sun Yat-sen University Cancer Center
            address:
               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      name:Bei Zhang
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:Sun Yat-sen University Cancer Center
            address:
               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      email:[email protected]
      name:Liangping Xia
      affiliation:
            name:Sun Yat-sen University Cancer Center
            address:
               name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
            name:Sun Yat-sen University Cancer Center
            address:
               name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:Tumor Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
      name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, People’s Republic of China
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