Prognostic Impact of Inflammation-Based Scores for Extrahepatic Cholangiocarcinoma.

IF 1.8 3区医学 Q3 GASTROENTEROLOGY & HEPATOLOGY Digestive Surgery Pub Date : 2022-01-01 Epub Date: 2022-01-20 DOI:10.1159/000521969

Riki Asakura, Hiroaki Yanagimoto, Tetsuo Ajiki, Daisuke Tsugawa, Takuya Mizumoto, Shinichi So, Takeshi Urade, Yoshihide Nanno, Kenji Fukushima, Hidetoshi Gon, Shohei Komatsu, Kaori Kuramitsu, Tadahiro Goto, Sadaki Asari, Masahiro Kido, Hirochika Toyama, Takumi Fukumoto

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引用次数: 6

Abstract

Introduction: Although the relationship between systemic inflammatory responses and prognosis has been known in various cancers, it remains unclear which scores are most valuable for determining the prognosis of extrahepatic cholangiocarcinoma. We aimed to verify the usefulness of various inflammation-based scores as prognostic factors in patients with resected extrahepatic cholangiocarcinoma.

Methods: We analyzed consecutive patients undergoing surgical resection for extrahepatic cholangiocarcinoma at our institution between January 2000 and December 2019. The usefulness of the following inflammation-based scores as prognostic factor was investigated: glasgow prognostic score (GPS), modified GPS, neutrophil-to-lymphocyte ratio, platelet to lymphocyte ratio, lymphocyte-to-monocyte ratio, prognostic nutrition index, C-reactive protein to albumin ratio (CAR), controlling nutritional status (CONUT), and prognostic index.

Results: A total of 169 patients were enrolled in this study. Of the nine scores, CAR and CONUT indicated prognostic value. Furthermore, multivariate analysis for overall survival revealed that high CAR (>0.23) was an independent prognostic factor (hazard ratio: 1.816, 95% confidence interval: 1.135-2.906, p = 0.0129), along with lymph node metastasis and curability. There was no difference in tumor staging and short-term outcomes between the low CAR (≤0.23) and high CAR groups.

Conclusions: CAR was the most valuable prognostic score in patients with resected extrahepatic cholangiocarcinoma.

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肝外胆管癌炎症评分对预后的影响。

虽然在各种癌症中，系统性炎症反应与预后之间的关系是已知的，但目前尚不清楚哪种评分对确定肝外胆管癌的预后最有价值。我们的目的是验证各种炎症评分作为肝外胆管癌切除术患者预后因素的有效性。方法:我们分析了2000年1月至2019年12月在我院连续接受肝外胆管癌手术切除的患者。研究了以下炎症评分作为预后因素的有效性:格拉斯哥预后评分(GPS)、改良GPS、中性粒细胞与淋巴细胞比值、血小板与淋巴细胞比值、淋巴细胞与单核细胞比值、预后营养指数、c反应蛋白与白蛋白比值(CAR)、控制营养状态(CONUT)和预后指数。结果:本研究共纳入169例患者。在9个评分中，CAR和CONUT显示了预后价值。此外，对总生存率的多因素分析显示，高CAR(>0.23)是一个独立的预后因素(风险比:1.816,95%可信区间:1.135-2.906,p = 0.0129)，以及淋巴结转移和治愈率。低CAR组(≤0.23)和高CAR组在肿瘤分期和短期预后方面无差异。结论:CAR是肝外胆管癌切除患者最有价值的预后评分。

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

Digestive Surgery 医学-外科

CiteScore

4.90

自引率

3.70%

发文量

审稿时长

3 months

期刊介绍： ''Digestive Surgery'' presents a comprehensive overview in the field of gastrointestinal surgery. Interdisciplinary in scope, the journal keeps the specialist aware of advances in all fields that contribute to improvements in the diagnosis and treatment of gastrointestinal disease. Particular emphasis is given to articles that evaluate not only recent clinical developments, especially clinical trials and technical innovations such as new endoscopic and laparoscopic procedures, but also relevant translational research. Each contribution is carefully aligned with the need of the digestive surgeon. Thus, the journal is an important component of the continuing medical education of surgeons who want their practice to benefit from a familiarity with new knowledge in all its dimensions.