AI Article Synopsis
- The study aimed to determine how the systemic immune-inflammation index (SII), platelet to lymphocyte ratio (PLR), and neutrophil to lymphocyte ratio (NLR) affect the survival of ovarian cancer patients who had cytoreductive surgery and HIPEC.
- A retrospective analysis of 68 cases from 2015 to 2020 was conducted, using ROC curves to find optimal cutoff values for these ratios.
- Results indicated that higher preoperative SII, PLR, and NLR were linked to poorer overall and disease-free survival, with SII and PLR emerging as significant predictors for patient outcomes.
Article Abstract
Background And Objectives: The aim of this study was to investigate the impact of systemic immune-inflammation index (SII), platelet to lymphocyte ratio (PLR) and neutrophil to lymphocyte ratio (NLR) on the survival outcomes of patients who underwent to cytoreductive surgery (CRS) and HIPEC for ovarian peritoneal carcinomatosis.
Methods: A retrospective analysis of 68 cases following surgery at our department between 2015 and 2020 was performed. Receiver Operating Characteristic (ROC) curve was used with Youden index to calculate the optimal cutoff values for SII, PLR and NLR.
Results: Univariate analysis revealed that high preoperative values of SII, PLR and NLR were correlated with worse overall survival (OS) and disease-free survival (DFS) in these patients. In the multivariable analysis, high SII was recognized as an independent prognostic factor for OS (CI 95%: 0.002- 3.835, p = 0.097) and high PLR was recognized as an independent prognostic factor for DFS (CI 95%: 0.253-2.248, p = 0.007).
Conclusion: SII and PLR could be useful prognostic tools to predict outcomes of patients who underwent to CRS and HIPEC for ovarian peritoneal carcinomatosis.
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| http://dx.doi.org/10.1016/j.suronc.2022.101750 | DOI Listing |
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