Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer

Abstract Although numerous studies have highlighted the prognostic values of various inflammation-related markers, clinical significance remains to be elucidated. The prognostic values of inflammation-related biomarkers for rectal cancer were investigated in this study. A total of 448 patients with...

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Autores principales: Takehito Yamamoto, Kenji Kawada, Koya Hida, Ryo Matsusue, Yoshiro Itatani, Rei Mizuno, Takashi Yamaguchi, Iwao Ikai, Yoshiharu Sakai
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/c23d7235fea24a74aab094fdba9df8d3
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spelling oai:doaj.org-article:c23d7235fea24a74aab094fdba9df8d32021-12-02T15:53:59ZCombination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer10.1038/s41598-021-84475-42045-2322https://doaj.org/article/c23d7235fea24a74aab094fdba9df8d32021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84475-4https://doaj.org/toc/2045-2322Abstract Although numerous studies have highlighted the prognostic values of various inflammation-related markers, clinical significance remains to be elucidated. The prognostic values of inflammation-related biomarkers for rectal cancer were investigated in this study. A total of 448 patients with stage II/III rectal cancer undergoing curative resection were enrolled from the discovery cohort (n = 240) and validation cohort (n = 208). We comprehensively compared the prognostic values of 11 inflammation-related markers-derived from neutrophil, lymphocyte, platelet, monocyte, albumin, and C-reactive protein for overall survival (OS) and recurrence-free survival (RFS). Among 11 inflammation-related markers, only “lymphocyte × albumin (LA)” was significantly associated with both OS and RFS in the discovery cohort (P = 0.007 and 0.015, respectively). Multivariate analysis indicated that low LA was significantly associated with poor OS (hazard ratio [HR] 2.19, 95% confidence interval [CI] 1.09–4.58, P = 0.025), and poor RFS (HR 1.61, 95% CI 1.01–2.80, P = 0.048). Furthermore, using the discovery cohort, we confirmed that low LA was significantly associated with poor OS (HR 2.89, 95% CI 1.42–6.00, P = 0.002), and poor RFS (HR 1.79, 95% CI 1.04–2.95, P = 0.034). LA can be a novel prognostic biomarker for stage II/III rectal cancer.Takehito YamamotoKenji KawadaKoya HidaRyo MatsusueYoshiro ItataniRei MizunoTakashi YamaguchiIwao IkaiYoshiharu SakaiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Takehito Yamamoto
Kenji Kawada
Koya Hida
Ryo Matsusue
Yoshiro Itatani
Rei Mizuno
Takashi Yamaguchi
Iwao Ikai
Yoshiharu Sakai
Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
description Abstract Although numerous studies have highlighted the prognostic values of various inflammation-related markers, clinical significance remains to be elucidated. The prognostic values of inflammation-related biomarkers for rectal cancer were investigated in this study. A total of 448 patients with stage II/III rectal cancer undergoing curative resection were enrolled from the discovery cohort (n = 240) and validation cohort (n = 208). We comprehensively compared the prognostic values of 11 inflammation-related markers-derived from neutrophil, lymphocyte, platelet, monocyte, albumin, and C-reactive protein for overall survival (OS) and recurrence-free survival (RFS). Among 11 inflammation-related markers, only “lymphocyte × albumin (LA)” was significantly associated with both OS and RFS in the discovery cohort (P = 0.007 and 0.015, respectively). Multivariate analysis indicated that low LA was significantly associated with poor OS (hazard ratio [HR] 2.19, 95% confidence interval [CI] 1.09–4.58, P = 0.025), and poor RFS (HR 1.61, 95% CI 1.01–2.80, P = 0.048). Furthermore, using the discovery cohort, we confirmed that low LA was significantly associated with poor OS (HR 2.89, 95% CI 1.42–6.00, P = 0.002), and poor RFS (HR 1.79, 95% CI 1.04–2.95, P = 0.034). LA can be a novel prognostic biomarker for stage II/III rectal cancer.
format article
author Takehito Yamamoto
Kenji Kawada
Koya Hida
Ryo Matsusue
Yoshiro Itatani
Rei Mizuno
Takashi Yamaguchi
Iwao Ikai
Yoshiharu Sakai
author_facet Takehito Yamamoto
Kenji Kawada
Koya Hida
Ryo Matsusue
Yoshiro Itatani
Rei Mizuno
Takashi Yamaguchi
Iwao Ikai
Yoshiharu Sakai
author_sort Takehito Yamamoto
title Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
title_short Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
title_full Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
title_fullStr Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
title_full_unstemmed Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
title_sort combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/c23d7235fea24a74aab094fdba9df8d3
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