Can Platelet-to-Lymphocyte Ratio (PLR) and Neutrophil-to-Lymphocyte Ratio (NLR) Help Predict Outcomes of Patients With Recurrent Glioblastoma?

IF 1.8 4区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL In vivo Pub Date : 2024-09-01 DOI:10.21873/invivo.13700

Oksana Zemskova, Nathan Y Yu, Jan Leppert, Anastassia Löser, Dirk Rades

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Abstract

Background/aim: In patients with recurrent glioblastoma, very little data are available regarding the prognostic value of platelet-to-lymphocyte (PLR) and neutrophil-to-lymphocyte (NLR) ratios. This study investigated potential associations between PLR or NLR and treatment outcomes.

Patients and methods: PLR and NLR at diagnosis of recurrence plus 10 additional characteristics were retrospectively analyzed for associations with progression-free survival (PFS) and overall survival (OS) in 75 patients with recurrent glioblastoma.

Results: On multivariate analyses, maximal cumulative diameter of recurrent lesion(s) <40 mm (p=0.015) and systemic therapy (p<0.001) were associated with improved PFS. On multivariate analysis of OS, improved outcomes were significantly associated with PLR ≤150 (p=0.029), maximal cumulative diameter <40 mm (p=0.030), and systemic therapy (p=0.010).

Conclusion: In addition to other characteristics, PLR at the time of recurrence was identified as an independent predictor of OS in patients with recurrent glioblastoma. PLR may be useful when designing personalized treatment approaches or clinical trials.

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血小板淋巴细胞比值（PLR）和中性粒细胞淋巴细胞比值（NLR）能否帮助预测复发性胶质母细胞瘤患者的预后？

背景/目的：在复发性胶质母细胞瘤患者中，关于血小板淋巴细胞比（PLR）和中性粒细胞淋巴细胞比（NLR）的预后价值的数据很少。本研究调查了PLR或NLR与治疗结果之间的潜在关联：回顾性分析了75例复发性胶质母细胞瘤患者复发诊断时的PLR和NLR以及另外10个特征与无进展生存期（PFS）和总生存期（OS）的关系：结果：多变量分析显示，复发病灶的最大累积直径与PLR的相关性较高：除其他特征外，复发时的PLR是复发性胶质母细胞瘤患者OS的独立预测因素。PLR可能有助于设计个性化治疗方法或临床试验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

In vivo 医学-医学：研究与实验

CiteScore

4.20

自引率

4.30%

发文量

330

审稿时长

3-8 weeks

期刊介绍： IN VIVO is an international peer-reviewed journal designed to bring together original high quality works and reviews on experimental and clinical biomedical research within the frames of physiology, pathology and disease management. The topics of IN VIVO include: 1. Experimental development and application of new diagnostic and therapeutic procedures; 2. Pharmacological and toxicological evaluation of new drugs, drug combinations and drug delivery systems; 3. Clinical trials; 4. Development and characterization of models of biomedical research; 5. Cancer diagnosis and treatment; 6. Immunotherapy and vaccines; 7. Radiotherapy, Imaging; 8. Tissue engineering, Regenerative medicine; 9. Carcinogenesis.