JOURNAL OF CLINICAL SURGERY ›› 2019, Vol. 27 ›› Issue (10): 873-875.doi: 10.3969/j.issn.1005-6483.2019.10.015

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Predictive Values of Preoperative and Postoperative of Inflammation-related Indexes in Survival of Patients with Colorectal Cancer

  

  1. Department of Gastrointestinal surgery,Renmin Hospital,Wuhan University,Wuhan 430060,China
  • Online:2019-10-20 Published:2019-10-20

Abstract: Objective To evaluate the prognostic values of preoperative and postoperative serum inflammation-related indexes,including AGR,CAR and OPNI in patients with resected colorectal cancer.Methods The clinicopathological data,inflammation-related indexes and prognosis of colorectal cancer patients before and 1 month after operation were analyzed.Cox regression was applied to estimate the independentassociation of inflammationrelated indexes with progression-free survival and overall survival.Results A total of 509 colorectal cancer patients were included in this study.166 patients developed cancer progression and 80 died.Multivariate Cox regression showed that preoperative AGR(HR=1.58,95%CI 1.01 to 2.48),CAR(HR=1.72,95%CI 1.08 to 2.74)and OPNI(HR=1.51,95%CI 1.06 to 2.15),and postoperative CAR(HR=1.79,95%CI 1.14 to 2.85)and OPNI(HR=1.64,95%CI 1.04 to 2.60)were independent prognostic factors for PFS.Preoperative AGR(HR=2.58,95%CI 1.49 to 4.47)and OPNI(HR=1.84,95%CI 1.09 to 3.13),and postoperative CAR(HR=3.03,95%CI 1.61 to 5.69)and OPNI(HR=2.31,95%CI 1.30 to 4.13)were independent prognostic factors for OS.Conclusions Inflammation-related indexes before and 1 month after tumor resection can be used as independent prognostic markers of progression-free survival and overall survival in colorectal cancer patients.

Key words: Colorectal cancer, Inflammation-related indexes, Progression-free survival, Overall survival

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