Cargando…
Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients
BACKGROUND: The purpose of this study was to investigate the impact of the modified Glasgow Prognostic Score (GPS) at the time of recurrence on post-recurrence survival (PRS) in non-small cell lung cancer (NSCLC) patients after surgical resection. MATERIAL/METHODS: The clinicopathologic characterist...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scientific Literature, Inc.
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553437/ https://www.ncbi.nlm.nih.gov/pubmed/28775246 http://dx.doi.org/10.12659/MSM.903710 |
_version_ | 1783256619666112512 |
---|---|
author | Lv, Yongbin Pan, Yinghua Dong, Changxia Liu, Peiji Zhang, Chunping Xing, Dong |
author_facet | Lv, Yongbin Pan, Yinghua Dong, Changxia Liu, Peiji Zhang, Chunping Xing, Dong |
author_sort | Lv, Yongbin |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to investigate the impact of the modified Glasgow Prognostic Score (GPS) at the time of recurrence on post-recurrence survival (PRS) in non-small cell lung cancer (NSCLC) patients after surgical resection. MATERIAL/METHODS: The clinicopathologic characteristics and outcome data of 266 patients with recurrent NSCLC were collected and reviewed retrospectively. The prognostic impact of mGPS at recurrence in patients with recurrent NSCLC was investigated in univariate and multivariate analyses. RESULTS: A total of 266 patients were analyzed. The mGPS at the time of recurrence of 0, 1, and 2 was assigned to 60.9%, 33.1%, and 6.0% of total patients, respectively. In univariate analyses, the median post-recurrence survival times for those with mGPS 0, 1, and 2 were 19, 14, and 4 months, respectively (log-rank test; P=0.005). No statistically significant difference in post-recurrence survival was observed among the patients with different mGPS before surgery (log-rank test; P=0.064). Age at surgery, histological type, C-reactive protein (CRP), albumin, and mGPS at recurrence significantly predicted PRS. After adjusting for confounding variables in the model, age (hazard ratio 1.59, P=0.003) as well as disease-free interval (DFI) (hazard ratio 1.40, P=0.023), and mGPS at recurrence (hazard ratio 1.47, P=0.002) remained independent predictors of PRS. CONCLUSIONS: mGPS at the time of recurrence might be an independent adverse prognostic factor in recurrent NSCLC. |
format | Online Article Text |
id | pubmed-5553437 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | International Scientific Literature, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-55534372017-08-17 Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients Lv, Yongbin Pan, Yinghua Dong, Changxia Liu, Peiji Zhang, Chunping Xing, Dong Med Sci Monit Clinical Research BACKGROUND: The purpose of this study was to investigate the impact of the modified Glasgow Prognostic Score (GPS) at the time of recurrence on post-recurrence survival (PRS) in non-small cell lung cancer (NSCLC) patients after surgical resection. MATERIAL/METHODS: The clinicopathologic characteristics and outcome data of 266 patients with recurrent NSCLC were collected and reviewed retrospectively. The prognostic impact of mGPS at recurrence in patients with recurrent NSCLC was investigated in univariate and multivariate analyses. RESULTS: A total of 266 patients were analyzed. The mGPS at the time of recurrence of 0, 1, and 2 was assigned to 60.9%, 33.1%, and 6.0% of total patients, respectively. In univariate analyses, the median post-recurrence survival times for those with mGPS 0, 1, and 2 were 19, 14, and 4 months, respectively (log-rank test; P=0.005). No statistically significant difference in post-recurrence survival was observed among the patients with different mGPS before surgery (log-rank test; P=0.064). Age at surgery, histological type, C-reactive protein (CRP), albumin, and mGPS at recurrence significantly predicted PRS. After adjusting for confounding variables in the model, age (hazard ratio 1.59, P=0.003) as well as disease-free interval (DFI) (hazard ratio 1.40, P=0.023), and mGPS at recurrence (hazard ratio 1.47, P=0.002) remained independent predictors of PRS. CONCLUSIONS: mGPS at the time of recurrence might be an independent adverse prognostic factor in recurrent NSCLC. International Scientific Literature, Inc. 2017-08-04 /pmc/articles/PMC5553437/ /pubmed/28775246 http://dx.doi.org/10.12659/MSM.903710 Text en © Med Sci Monit, 2017 This work is licensed under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) ) |
spellingShingle | Clinical Research Lv, Yongbin Pan, Yinghua Dong, Changxia Liu, Peiji Zhang, Chunping Xing, Dong Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients |
title | Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients |
title_full | Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients |
title_fullStr | Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients |
title_full_unstemmed | Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients |
title_short | Modified Glasgow Prognostic Score at Recurrence Predicts Poor Survival in Resected Non-Small Cell Lung Cancer (NSCLC) Patients |
title_sort | modified glasgow prognostic score at recurrence predicts poor survival in resected non-small cell lung cancer (nsclc) patients |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553437/ https://www.ncbi.nlm.nih.gov/pubmed/28775246 http://dx.doi.org/10.12659/MSM.903710 |
work_keys_str_mv | AT lvyongbin modifiedglasgowprognosticscoreatrecurrencepredictspoorsurvivalinresectednonsmallcelllungcancernsclcpatients AT panyinghua modifiedglasgowprognosticscoreatrecurrencepredictspoorsurvivalinresectednonsmallcelllungcancernsclcpatients AT dongchangxia modifiedglasgowprognosticscoreatrecurrencepredictspoorsurvivalinresectednonsmallcelllungcancernsclcpatients AT liupeiji modifiedglasgowprognosticscoreatrecurrencepredictspoorsurvivalinresectednonsmallcelllungcancernsclcpatients AT zhangchunping modifiedglasgowprognosticscoreatrecurrencepredictspoorsurvivalinresectednonsmallcelllungcancernsclcpatients AT xingdong modifiedglasgowprognosticscoreatrecurrencepredictspoorsurvivalinresectednonsmallcelllungcancernsclcpatients |