1. A preoperative prognostic nutritional index is a prognostic indicator in oral squamous cell carcinoma patients undergoing radical surgery
- Author
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H. Matsuzaki, H. Ichikawa, Yukio Watabe, Isao Kamiyama, S. Shigematsu, A. Ito, K. Aoki, and Jun-ichi Tanaka
- Subjects
Oncology ,medicine.medical_specialty ,Prognostic factor ,Multivariate analysis ,Neutrophils ,Comparative evaluation ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Humans ,Medicine ,Basal cell ,Radical surgery ,Retrospective Studies ,Mouth neoplasm ,Receiver operating characteristic ,Squamous Cell Carcinoma of Head and Neck ,business.industry ,Retrospective cohort study ,030206 dentistry ,Prognosis ,Nutrition Assessment ,Otorhinolaryngology ,Head and Neck Neoplasms ,030220 oncology & carcinogenesis ,Carcinoma, Squamous Cell ,Mouth Neoplasms ,Surgery ,Oral Surgery ,business - Abstract
The purpose of this study was to investigate the prognostic value of prognostic nutritional index (PNI) in oral squamous cell carcinoma (OSCC) patients and to undertake a comparative evaluation of the prognostic value of comparing PNI, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and lymphocyte-to-monocyte ratio (LMR) in terms of prognostic utility. A retrospective study was conducted involving 203 consecutive patients with OSCC who were treated with radical surgery with curative intent. The PNI and systemic inflammatory response were developed, and their prognostic utility was evaluated. Kaplan-Meier curve analysis and log-rank testing showed that PNI (P< 0.001), NLR (P=0.011), PLR (P=0.013), and LMR (P=0.014) were significantly associated with overall survival. Multivariate analysis identified PNI as an independent prognostic factor for OSCC patients (P=0.029). In time-dependent receiver operating characteristic curve analysis, PNI was continuously superior to that of NLR, PLR, and LMR. In conclusion, this study suggested that PNI offered an independent prognostic biomarker in OSCC patients undergoing radical surgery. However, this study was small and retrospective, thus further investigations are needed to clarify the utility of PNI for tailor-made treatments in clinical settings.
- Published
- 2021
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