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Methods: We enrolled 167 esophageal cancer patients who underwent curative esophagectomy. Univariate and multivariate analyses were performed to determine the prognostic significance of various markers, including CRP-to-albumin (CRP/Alb) ratio, modified Glasgow prognostic score, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and prognostic nutritional index. Results: Receiver operating characteristic analysis revealed the optimal cut-off value of each inflammatory factor, and CRP/PAlb ratio had the greatest discriminative power in predicting recurrence-free survival (RFS) among the examined measures (AUC 0.668). The 5-year overall survival and RFS rates were significantly lower in patients with high CRP/PAlb ratio than in those with low CRP/PAlb ratio (P \u003c 0.001, P = 0.001, respectively). In the univariate analysis, RFS was significantly worse in patients with low BMI, T2 or deeper tumor invasion, positive lymph node metastasis, positive venous invasion, high CRP/PAlb ratio, high CRP/Alb ratio, high NLR, and high LMR. Multivariate analysis revealed that CRP/PAlb, but not CRP/Alb, was an independent prognostic factor along with lymph node metastasis. 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Prognostic Significance of C-reactive Protein-to-prealbumin Ratio in Patients with Esophageal Cancer
https://repository.lib.tottori-u.ac.jp/records/4712
https://repository.lib.tottori-u.ac.jp/records/4712807c5fda-0feb-4c86-99ea-05790dcf38da
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2020-02-28 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Prognostic Significance of C-reactive Protein-to-prealbumin Ratio in Patients with Esophageal Cancer | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題 | C-reactive protein-to-prealbumin ratio | |||||
キーワード | ||||||
主題 | esophageal cancer | |||||
キーワード | ||||||
主題 | esophagectomy | |||||
キーワード | ||||||
主題 | inflammatory marker | |||||
キーワード | ||||||
主題 | prognosis | |||||
キーワード | ||||||
言語 | en | |||||
主題 | C-reactive protein-to-prealbumin ratio | |||||
キーワード | ||||||
言語 | en | |||||
主題 | esophageal cancer | |||||
キーワード | ||||||
言語 | en | |||||
主題 | esophagectomy | |||||
キーワード | ||||||
言語 | en | |||||
主題 | inflammatory marker | |||||
キーワード | ||||||
言語 | en | |||||
主題 | prognosis | |||||
資源タイプ | ||||||
資源タイプ | journal article | |||||
著者 |
Matsunaga, Tomoyuki
× Matsunaga, Tomoyuki× Miyata, Hiroshi× Sugimura, Keijiro× Motoori, Masaaki× Asukai, Kei× Yanagimoto, Yoshitomo× Yamamoto, Kazuyoshi× Akita, Hirofumi× Nishimura, Junichi× Wada, Hiroshi× Takahashi, Hidenori× Yasui, Masayoshi× Omori, Takeshi× Ohue, Masayuki× Fujiwara, Yoshiyuki× Yano, Masahiko |
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著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute / Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Surgery, Osaka General Medical Center | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
著者所属(英) | ||||||
en | ||||||
Division of Surgical Oncology, Department of Surgery, School of Medicine, Tottori University Faculty of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Digestive Surgery, Osaka International Cancer Institute | ||||||
抄録 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Background: The prognostic value of combination of C-reactive protein and prealbumin (CRP/PAlb) in esophageal cancer remains unclear. Methods: We enrolled 167 esophageal cancer patients who underwent curative esophagectomy. Univariate and multivariate analyses were performed to determine the prognostic significance of various markers, including CRP-to-albumin (CRP/Alb) ratio, modified Glasgow prognostic score, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and prognostic nutritional index. Results: Receiver operating characteristic analysis revealed the optimal cut-off value of each inflammatory factor, and CRP/PAlb ratio had the greatest discriminative power in predicting recurrence-free survival (RFS) among the examined measures (AUC 0.668). The 5-year overall survival and RFS rates were significantly lower in patients with high CRP/PAlb ratio than in those with low CRP/PAlb ratio (P < 0.001, P = 0.001, respectively). In the univariate analysis, RFS was significantly worse in patients with low BMI, T2 or deeper tumor invasion, positive lymph node metastasis, positive venous invasion, high CRP/PAlb ratio, high CRP/Alb ratio, high NLR, and high LMR. Multivariate analysis revealed that CRP/PAlb, but not CRP/Alb, was an independent prognostic factor along with lymph node metastasis. Conclusion: CRP/PAlb ratio was useful for predicting the prognosis of esophageal cancer patients. | |||||
書誌情報 |
Yonago Acta Medica en : Yonago Acta Medica 巻 63, 号 1, p. 8-19, 発行日 2020-02-20 |
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雑誌内区分 | ||||||
Original Article | ||||||
出版者 | ||||||
出版者 | Tottori University Medical Press | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 05135710 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00892882 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.33160/yam.2020.02.002 | |||||
権利 | ||||||
権利情報 | Yonago Acta medica 編集委員会 | |||||
情報源 | ||||||
関連名称 | Tomoyuki Matsunaga, Hiroshi Miyata, Keijiro Sugimura, Masaaki Motoori, Kei Asukai, Yoshitomo Yanagimoto, Kazuyoshi Yamamoto, Hirofumi Akita, Junichi Nishimura, Hiroshi Wada, Hidenori Takahashi, Masayoshi Yasui, Takeshi Omori, Masayuki Ohue, Yoshiyuki Fuji | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.lib.tottori-u.ac.jp/yam/yam/yam63-1/63-1contents.html | |||||
関連名称 | http://www.lib.tottori-u.ac.jp/yam/yam/yam63-1/63-1contents.html | |||||
関連サイト | ||||||
識別子タイプ | URI | |||||
関連識別子 | https://www.jstage.jst.go.jp/article/yam/63/1/63_2020.02.002/_article/ | |||||
関連名称 | https://www.jstage.jst.go.jp/article/yam/63/1/63_2020.02.002/_article/ | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
EISSN | ||||||
1346-8049 |