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Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer

  • Authors:
    • Leirong Wang
    • Hongzong Si
    • Jing Wang
    • Lingxin Feng
    • Wenxin Zhai
    • Shenghua Dong
    • Zhuang Yu
  • View Affiliations / Copyright

    Affiliations: Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266003, P.R. China, Institute for Computational Science and Engineering, Laboratory of New Fibrous Materials and Modern Textile, The Growing Base for State Key Laboratory, Qingdao University, Qingdao, Shandong 266071, P.R. China
    Copyright: © Wang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 1101-1110
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    Published online on: May 21, 2020
       https://doi.org/10.3892/ol.2020.11655
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Abstract

Although the prognostic value of the neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and lymphocyte/white blood cell ratio (LWR) has been described in advanced non‑small cell lung cancer (NSCLC), the association between complete blood cell parameters prior to disease treatment and NSCLC have yet to be identified. The aim of the present study was to assess the complete blood cell parameters prior to disease treatment in patients with advanced NSCLC. A total of 268 patients with advanced NSCLC were enrolled in this study. Clinical and laboratory data of the patients were acquired through medical records. Receiver operating characteristic curve analysis was used to determine the optimal cut‑off values of the neutrophil/white blood cell ratio (NWR), NLR, platelet/white blood cell ratio (PWR), PLR, monocyte/white blood cell ratio (MWR), monocyte/lymphocyte ratio (MLR) and LWR. Kaplan‑Meier univariate and multivariate Cox regression analyses were used to evaluate the effect of complete blood parameters on progression‑free survival (PFS) and overall survival (OS). The optimal cut‑off values were identified as 0.67 for NWR, 2.85 for NLR, 37.23 for PWR, 166.56 for PLR, 0.074 for MWR, 0.31 for MLR and 0.24 for LWR. Univariate analysis revealed that sex (P=0.038), histological type (P<0.0001), NWR (P=0.026), NLR (P=0.044) and MLR (P=0.012) were all associated with PFS, whereas histological type (P=0.003), NWR (P=0.003), NLR (P=0.015), MLR (P=0.006) and LWR (P=0.043) were significantly associated with OS in patients with advanced NSCLC. Histological type (P=0.002) was an independent prognostic factor for PFS in patients with advanced NSCLC. Whereas histological type (P=0.005), NWR (P=0.005), NLR (P=0.014), MLR (P=0.006), and LWR (P=0.034) were independent prognostic factors for OS. Taken together, the present study identified high NWR, NLR and MLR, and low LWR as independent prognostic factors for poor OS in patients with NSCLC.
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Copy and paste a formatted citation
Spandidos Publications style
Wang L, Si H, Wang J, Feng L, Zhai W, Dong S and Yu Z: Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer. Oncol Lett 20: 1101-1110, 2020.
APA
Wang, L., Si, H., Wang, J., Feng, L., Zhai, W., Dong, S., & Yu, Z. (2020). Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer. Oncology Letters, 20, 1101-1110. https://doi.org/10.3892/ol.2020.11655
MLA
Wang, L., Si, H., Wang, J., Feng, L., Zhai, W., Dong, S., Yu, Z."Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer". Oncology Letters 20.2 (2020): 1101-1110.
Chicago
Wang, L., Si, H., Wang, J., Feng, L., Zhai, W., Dong, S., Yu, Z."Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer". Oncology Letters 20, no. 2 (2020): 1101-1110. https://doi.org/10.3892/ol.2020.11655
Copy and paste a formatted citation
x
Spandidos Publications style
Wang L, Si H, Wang J, Feng L, Zhai W, Dong S and Yu Z: Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer. Oncol Lett 20: 1101-1110, 2020.
APA
Wang, L., Si, H., Wang, J., Feng, L., Zhai, W., Dong, S., & Yu, Z. (2020). Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer. Oncology Letters, 20, 1101-1110. https://doi.org/10.3892/ol.2020.11655
MLA
Wang, L., Si, H., Wang, J., Feng, L., Zhai, W., Dong, S., Yu, Z."Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer". Oncology Letters 20.2 (2020): 1101-1110.
Chicago
Wang, L., Si, H., Wang, J., Feng, L., Zhai, W., Dong, S., Yu, Z."Blood cell parameters as prognostic predictors of disease development for patients with advanced non‑small cell lung cancer". Oncology Letters 20, no. 2 (2020): 1101-1110. https://doi.org/10.3892/ol.2020.11655
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