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Title:
Usefulness of the Neutrophil-to-Lymphocyte Ratio in Predicting Short- and Long-Term Mortality in Breast Cancer Patients | Annals of Surgical Oncology
Description:
The neutrophil-to-lymphocyte ratio (NLR) is a strong predictor of mortality in patients with colorectal, gastric, hepatocellular, pancreatic, and lung cancer. To date, the utility of NLR to predict mortality in breast cancer patients has not been studied. Therefore, the aim of our study was to determine whether the NLR is predictive of short- and long-term mortality in breast cancer patients. Our observational study used an unselected cohort of breast cancer patients treated at the Staten Island University Hospital between January 2004 and December 2006. A total of 316 patients had a differential leukocyte count recorded prior to chemotherapy. Survival status was retrieved from our cancer registry and Social Security death index. Survival analysis, stratified by NLR quartiles, was used to evaluate the predictive value of NLR. Patients in the highest NLR quartile (NLR > 3.3) had higher 1-year (16% vs 0%) and 5-year (44% vs 13%) mortality rates compared with those in the lowest quartile (NLR < 1.8) (P < .0001). Those in the highest NLR quartile were statistically significantly older and had more advanced stages of cancer. After adjusting for the factors affecting the mortality and/or NLR (using two multivariate models), NLR level > 3.3 remained an independent significant predictor of mortality in both models (hazard ratio 3.13, P = .01) (hazard ratio 4.09, P = .002). NLR is an independent predictor of short- and long-term mortality in breast cancer patients with NLR > 3.3. We suggest prospective studies to evaluate the NLR as a simple prognostic test for breast cancer.
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cancer, article, google, scholar, pubmed, breast, patients, cas, nlr, ratio, survival, prognostic, mortality, cells, neutrophiltolymphocyte, colorectal, staten, island, usa, blood, cell, privacy, cookies, content, research, independent, access, outcome, metastatic, data, publish, search, oncology, short, longterm, azab, mbbs, predictor, study, treated, university, hospital, chemotherapy, markers, prognosis, surg, ann, oncol, lymphocytes, analysis,
Topics {✒️}
independent significant predictor month download article/chapter independent prognostic factor small-cell lung cancer patient prognosis srujitha murukutla mbbs pretreatment neutrophil count jaya phookan md early-stage colorectal cancer independent predictor prognostic markers independent prognostic indicator basem azab md breast cancer classification tumour infiltrating lymphocytes cancer cell nests breast cancer patients full article pdf gene expression profiles privacy choices/manage cookies human colorectal cancer nina kohn ma leukocyte orchestration social media tumors releasing interleukin-8 prognostic factor related subjects hla-dr expression surgical oncology aims tumor infiltrating lymphocytes simple prognostic test cancer immunol immunother cells predict outcome breast cancer check access instant access epithelial ovarian cancer cancer registry coordinator european economic area statistically significantly older suggest prospective studies keller-peck cr vertical growth phase high cd8+/regulatory appleton-century-crofts elsevier churchill livingstone justyna lubinska-mcnichol article azab cd4+/cd8+ ratio strong predictor
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headline:Usefulness of the Neutrophil-to-Lymphocyte Ratio in Predicting Short- and Long-Term Mortality in Breast Cancer Patients
description:The neutrophil-to-lymphocyte ratio (NLR) is a strong predictor of mortality in patients with colorectal, gastric, hepatocellular, pancreatic, and lung cancer. To date, the utility of NLR to predict mortality in breast cancer patients has not been studied. Therefore, the aim of our study was to determine whether the NLR is predictive of short- and long-term mortality in breast cancer patients. Our observational study used an unselected cohort of breast cancer patients treated at the Staten Island University Hospital between January 2004 and December 2006. A total of 316 patients had a differential leukocyte count recorded prior to chemotherapy. Survival status was retrieved from our cancer registry and Social Security death index. Survival analysis, stratified by NLR quartiles, was used to evaluate the predictive value of NLR. Patients in the highest NLR quartile (NLR > 3.3) had higher 1-year (16% vs 0%) and 5-year (44% vs 13%) mortality rates compared with those in the lowest quartile (NLR < 1.8) (P < .0001). Those in the highest NLR quartile were statistically significantly older and had more advanced stages of cancer. After adjusting for the factors affecting the mortality and/or NLR (using two multivariate models), NLR level > 3.3 remained an independent significant predictor of mortality in both models (hazard ratio 3.13, P = .01) (hazard ratio 4.09, P = .002). NLR is an independent predictor of short- and long-term mortality in breast cancer patients with NLR > 3.3. We suggest prospective studies to evaluate the NLR as a simple prognostic test for breast cancer.
datePublished:2011-06-03T00:00:00Z
dateModified:2011-06-03T00:00:00Z
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Breast Cancer Patient
Independent Significant Predictor
Differential Leukocyte Count
Social Security Death Index
Increase Breast Cancer Cell
Surgical Oncology
Oncology
Surgery
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description:The neutrophil-to-lymphocyte ratio (NLR) is a strong predictor of mortality in patients with colorectal, gastric, hepatocellular, pancreatic, and lung cancer. To date, the utility of NLR to predict mortality in breast cancer patients has not been studied. Therefore, the aim of our study was to determine whether the NLR is predictive of short- and long-term mortality in breast cancer patients. Our observational study used an unselected cohort of breast cancer patients treated at the Staten Island University Hospital between January 2004 and December 2006. A total of 316 patients had a differential leukocyte count recorded prior to chemotherapy. Survival status was retrieved from our cancer registry and Social Security death index. Survival analysis, stratified by NLR quartiles, was used to evaluate the predictive value of NLR. Patients in the highest NLR quartile (NLR > 3.3) had higher 1-year (16% vs 0%) and 5-year (44% vs 13%) mortality rates compared with those in the lowest quartile (NLR < 1.8) (P < .0001). Those in the highest NLR quartile were statistically significantly older and had more advanced stages of cancer. After adjusting for the factors affecting the mortality and/or NLR (using two multivariate models), NLR level > 3.3 remained an independent significant predictor of mortality in both models (hazard ratio 3.13, P = .01) (hazard ratio 4.09, P = .002). NLR is an independent predictor of short- and long-term mortality in breast cancer patients with NLR > 3.3. We suggest prospective studies to evaluate the NLR as a simple prognostic test for breast cancer.
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Independent Significant Predictor
Differential Leukocyte Count
Social Security Death Index
Increase Breast Cancer Cell
Surgical Oncology
Oncology
Surgery
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