Higher aorta dose increased neutrophil‐to‐lymphocyte ratio resulting in poorer outcomes in stage II‐III non‐small cell lung cancer

Author:

Li Yaqi12345,Fan Xingwen4567,Yu Qi8,Zhai Haoyang9,Mi Jing9,Lu Renquan8,Jiang Guoliang12345,Wu Kailiang12345ORCID

Affiliation:

1. Department of Radiation Oncology, Shanghai Proton and Heavy Ion Center Fudan University Cancer Hospital Shanghai China

2. Shanghai Key Laboratory of Radiation Oncology (20dz2261000) Shanghai Proton and Heavy Ion Center, Fudan University Cancer Hospital Shanghai China

3. Shanghai Engineering Research Center of Proton and Heavy Ion Radiation Therapy Shanghai China

4. Department of Radiation Oncology Fudan University Shanghai Cancer Center Shanghai China

5. Department of Oncology, Shanghai Medical College Fudan University Shanghai China

6. Shanghai Clinical Research Center for Radiation Oncology Fudan University Shanghai Cancer Center Shanghai China

7. Shanghai Key Laboratory of Radiation Oncology Fudan University Shanghai Cancer Center Shanghai China

8. Department of Clinical Laboratory Fudan University Shanghai Cancer Center Shanghai China

9. Department of Medical Physics Fudan University Shanghai Cancer Center Shanghai China

Abstract

AbstractBackgroundThis study focused on the relationship between the neutrophil‐to‐lymphocyte ratio (NLR) and the dose of organs at risk in patients with stage II–III non‐small cell lung cancer (NSCLC) receiving intensity‐modulated radiotherapy.MethodsThe clinical characteristics and dosimetric parameters of 372 patients were collected retrospectively. A high NLR was defined as that ≥1.525. Survival analysis was conducted using the Kaplan–Meier and Cox regression analysis. Least absolute shrinkage and selection operator (LASSO) analysis was conducted to select appropriate dosimetric parameters. The risk factors of NLR were evaluated using univariate and multivariate logistic regression analyses.ResultsPatients with a high NLR had poorer progression‐free survival (PFS) (p = 0.011) and overall survival (OS) (p = 0.061). A low NLR (<1.525) predicted better PFS (hazard ratio [HR] 0.676, 95% confidence interval [CI]: 0.508–0.900, p = 0.007) and OS (HR 0.664, 95% CI: 0.490–0.901, p = 0.009). The aorta dose differed between the low and high NLR groups (all <0.1) in the univariate analysis. An aorta V10 was confirmed as a significant risk factor for a high NLR (odds ratio [OR] 1.029, 95% CI: 1.011–1.048, p = 0.002). Receiving chemotherapy before (OR 0.428, 95% CI: 0.225–0.813, p = 0.010) and during (OR 0.491, 95% CI: 0.296–0.815, p = 0.006) radiotherapy were predictive factors of a low NLR.ConclusionThe aorta dose was significantly associated with a high NLR. Patients with stage II–III NSCLC with a high NLR had poorer prognosis. Receiving chemotherapy before and/or during radiotherapy predicted a low NLR.

Publisher

Wiley

Subject

Pulmonary and Respiratory Medicine,Oncology,General Medicine

全球学者库

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"全球学者库"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前全球学者库共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2023 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3