Influence of neutrophil-lymphocyte ratio in prognosis of glioblastoma multiforme

• Tipo: Artigo em Revista Científica Internacional
• Data: 2018-10-26

Autores

Paulo Linhares (Autor) FMUP

Revista

Título: Journal of Neuro-Oncology

Vol. 136

Páginas: 173-180

ISSN: 0167-594X

Editora: Springer Nature

Indexação

ISI Web of Knowledge - 71 Citações

Scopus - 69 Citações

Outras Informações

ID Authenticus: P-00N-5Z7

DOI: 10.1007/s11060-017-2641-3

Abstract (EN): Neutrophil-lymphocyte ratio (NLR) is a hematological marker of systemic inflammation and several studies demonstrate an association between a higher NLR and a worse prognosis in many malignancies. However, literature analyzing its prognostic value in glioblastoma multiforme (GBM) is still scarce. We intended to analyze the correlation of NLR with overall survival and progression-free survival in patients with GBM performing a retrospective review of the patients with diagnosis of GBM submitted to a resection surgery in the department of neurosurgery of a tertiary care hospital, between January/2005 and January/2013. 140 patients were included. Mean age at surgery was 62.9 +/- 10.0 years and mean age at death was 64.4 +/- 9.8 years. Mean overall survival was 19.4 +/- 14.3 months and mean progression-free survival was 9.4 +/- 8.7 months. There was no correlation of NLR, platelets-lymphocyte ratio (PLR) or absolute counts of neutrophils, lymphocytes and platelets with overall survival in multivariate analysis. However, a preoperative NLR <= 5 correlated with a shorter progression-free survival [HR 1.56 (SD 95% 1.04-2.34); p = 0.032]. We performed a subgroup analysis of patients who completed Stupp protocol. In this subgroup of 117 patients, a preoperative NLR > 7 correlated with a shorter overall survival [HR 1.65 (SD 95% 1.07-2.53); p = 0.023]. The results from our total cohort didn't confirm the correlation between a higher NRL and worse survival in GBM. However, in the subgroup analysis of patients who completed Stupp protocol, a higher NLR was an independent prognostic factor to a shorter overall survival, similar to existent literature data about GBM.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 8