論文

査読有り
2018年6月1日

Prognostic Significance of the Preoperative Ratio of C-Reactive Protein to Albumin and Neutrophil–Lymphocyte Ratio in Gastric Cancer Patients

World Journal of Surgery
  • Hiroaki Saito
  • ,
  • Yusuke Kono
  • ,
  • Yuki Murakami
  • ,
  • Yuji Shishido
  • ,
  • Hirohiko Kuroda
  • ,
  • Tomoyuki Matsunaga
  • ,
  • Yoji Fukumoto
  • ,
  • Tomohiro Osaki
  • ,
  • Keigo Ashida
  • ,
  • Yoshiyuki Fujiwara

42
6
開始ページ
1819
終了ページ
1825
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00268-017-4400-1
出版者・発行元
Springer New York LLC

Background: The ratio of C-reactive protein to albumin (CRP/Alb) is a biochemical marker of systemic inflammatory response and has been associated with poor survival in cancer. This study retrospectively investigated the relationship between the CRP/Alb ratio and prognosis in gastric cancer patients. Methods: This study enrolled 453 patients with a histopathological diagnosis of gastric adenocarcinoma who underwent curative surgery. Results: A statistically significant weak correlation was observed between CRP/Alb ratio and neutrophil/lymphocyte ratio (NLR) (r = 0.19
P &lt
 0.0001). There were statistically significant correlations between high CRP/Alb ratio and age (P = 0.0004), tumor size (P = 0.02), depth of invasion (P = 0.012), and lymph node metastasis (P = 0.022). A high NLR was significantly correlated with age (P = 0.0027), tumor size (P = 0.0006), depth of invasion (P &lt
 0.0001), lymphatic involvement (P = 0.0031), venous involvement (P = 0.0022), and stage of disease (P = 0.0024). Based on results by receiver operating characteristic analysis, patients were divided as follows: CRP/Alb ratio ≥ 0.0232 (CARHigh), CRP/Alb ratio &lt
 0.0232 (CARLow), NLR ≥ 2.43 (NLRHigh), and NLR &lt
 2.43 (NLRLow). Five-year survival rates of patients with both CARHigh and NLRHigh, either CARHigh or NLRHigh, and both CARLow and NLRLow were 59.6, 75.8, and 87.5%, respectively, with statistically significant differences (P &lt
 0.0001). Multivariate analysis revealed that the combination of CRP/Alb ratio and NLR was an independent prognostic indicator. Conclusions: The combination of CRP/Alb ratio and NLR may be useful in predicting prognosis in gastric cancer patients.

リンク情報
DOI
https://doi.org/10.1007/s00268-017-4400-1
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/29270656
ID情報
  • DOI : 10.1007/s00268-017-4400-1
  • ISSN : 1432-2323
  • ISSN : 0364-2313
  • PubMed ID : 29270656
  • SCOPUS ID : 85038612968

エクスポート
BibTeX RIS