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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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Minerva Urologica e Nefrologica 2018 Jan 29

DOI: 10.23736/S0393-2249.18.02914-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: English

Prognostic value of preoperative systemic inflammation markers in localized upper tract urothelial cell carcinoma: a large, multicenter cohort analysis

Sumin SON 1, Eu C. HWANG 1, Seung I. JUNG 1, Dong D. KWON 1, Seock H. CHOI 2, Tae G. KWON 2, Joon H. NOH 3, Myung K. KIM 4, Ill Y. SEO 5, Chul-Sung KIM 6, Sung G. KANG 7, Jun CHEON 7, Hong K. HA 8, Chang W. JEONG 9, Ja H. KU 9, Cheol KWAK 9

1 Department of Urology, Chonnam National University Medical School, Gwangju, Korea; 2 Department of Urology, Kyungpook National University School of Medicine, Daegu, Korea; 3 Department of Urology, Kwangju Christian Hospital, Gwangju, Korea; 4 Department of Urology, Chonbuk National University Medical School, Jeonju, Korea; 5 Department of Urology, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea; 6 Department of Urology, Chosun University School of Medicine, Gwangju, Korea; 7 Department of Urology, Korea University College of Medicine, Seoul, Korea; 8 Department of Urology, Pusan National University School of Medicine, Busan, Korea; 9 Department of Urology, Seoul National University College of Medicine, Seoul, Korea


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BACKGROUND: To investigate the prognostic value of preoperative systemic inflammation markers in upper tract urothelial carcinoma (UTUC).
METHODS: A total of 1137 patients who underwent radical nephroureterectomy with bladder cuff excision at 9 institutions from 2004 to 2015, were retrospectively reviewed. The Glasgow prognostic score (GPS), modified GPS (mGPS), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR) for each patient were calculated. Univariable and multivariable analysis was performed using the Cox proportional hazards regression model. Cut-off values for NLR and PLR were calculated using a receiver operating characteristic curve.
RESULTS: The median follow-up period was 39.1 (interquartile range: 18.3-63.8) months. Univariable analysis revealed that GPS, mGPS, PLR, and NLR (all, p=0.001) were significantly associated with both recurrence-free survival (RFS) and cancer-specific survival (CSS). Multivariable analysis revealed that GPS (p=0.001), PLR (hazards ratio [HR] = 1.32; 95% CI: 1.08-1.62, p=0.007 and HR = 1.87; 95% CI: 1.21-2.92, p=0.005), NLR (HR = 1.38; 95% CI: 1.12-1.69, p=0.003 and HR = 1.70; 95% CI: 1.10-2.62, p=0.017) were significantly associated with RFS and CSS.
CONCLUSIONS: Our results suggest that preoperative systemic inflammation markers such as GPS, PLR, and NLR are independent prognostic factors in patients with UTUC after surgery.


KEY WORDS: Inflammation - Prognosis - Carcinoma transitional cell

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Publication History

Article first published online: January 29, 2018
Manuscript accepted: January 15, 2018
Manuscript revised: November 10, 2017
Manuscript received: February 19, 2017

Cite this article as

Son S, Hwang EC, Jung SI, Kwon DD, Choi SH, Kwon TG, et al. Prognostic value of preoperative systemic inflammation markers in localized upper tract urothelial cell carcinoma: a large, multicenter cohort analysis. Minerva Urol Nefrol 2018 Jan 29. DOI: 10.23736/S0393-2249.18.02914-4

Corresponding author e-mail

urohwang@gmail.com