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The effect of lymph node ratio on survival in non-small-cell lung cancer
The aim of this study was to evaluate the effect of prognostic factors and lymph node ratio (LNR) on survival in patients with resected non-small-cell lung cancer (NSCLC). Data from 421 patients with NSCLC who underwent complete resection between 2009 and 2015 were evaluated retrospectively. LNR was...
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Published in: | Acta chirurgica belgica 2023-01, Vol.123 (1), p.36-42 |
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container_title | Acta chirurgica belgica |
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creator | Sezen, Celal Bugra Kalafat, Cem Emrah Doğru, Mustafa Vedat Aker, Cemal Erdogu, Volkan Saydam, Ozkan Metin, Muzaffer |
description | The aim of this study was to evaluate the effect of prognostic factors and lymph node ratio (LNR) on survival in patients with resected non-small-cell lung cancer (NSCLC).
Data from 421 patients with NSCLC who underwent complete resection between 2009 and 2015 were evaluated retrospectively. LNR was defined as the ratio of positive lymph nodes to the total number of lymph nodes removed. Associations between overall survival (OS) and LNR, node (N) status, and histopathologic status were evaluated.
The 5-year survival rate was 42.5% among all patients and 26.6% for patients aged 65 years or older. In the multivariate analysis, age ≥65 years, advanced-stage disease, non-squamous cell carcinomas, pN status, and having multiple-station pN2 and multiple-station pN1 disease were found to be poor prognostic factors (p |
doi_str_mv | 10.1080/00015458.2021.1932181 |
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Data from 421 patients with NSCLC who underwent complete resection between 2009 and 2015 were evaluated retrospectively. LNR was defined as the ratio of positive lymph nodes to the total number of lymph nodes removed. Associations between overall survival (OS) and LNR, node (N) status, and histopathologic status were evaluated.
The 5-year survival rate was 42.5% among all patients and 26.6% for patients aged 65 years or older. In the multivariate analysis, age ≥65 years, advanced-stage disease, non-squamous cell carcinomas, pN status, and having multiple-station pN2 and multiple-station pN1 disease were found to be poor prognostic factors (p < 0.05). There was no statistical difference in survival between patients with LNR (hazard ratio: 1.04, p = 0.45).
The results of our study indicate that pN stage, histopathologic type, pT stage, and geriatric age were the most important poor prognostic factors associated with survival after NSCLC resection. Although LNR is a factor associated with survival in gastrointestinal cancers, it did not impact survival in our study.</description><identifier>ISSN: 0001-5458</identifier><identifier>EISSN: 2577-0160</identifier><identifier>DOI: 10.1080/00015458.2021.1932181</identifier><identifier>PMID: 34006183</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Aged ; Carcinoma, Non-Small-Cell Lung - pathology ; Humans ; Lung cancer staging ; Lung Neoplasms - pathology ; Lymph Node Excision ; Lymph Node Ratio ; Lymph Nodes - pathology ; Neoplasm Staging ; non-small cell lung cancer ; Prognosis ; Retrospective Studies ; survival</subject><ispartof>Acta chirurgica belgica, 2023-01, Vol.123 (1), p.36-42</ispartof><rights>2021 The Royal Belgian Society for Surgery 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-3a17469e27338c07c0937f12dc33ad61169bd8111f2713e16250f2103eaa39263</citedby><cites>FETCH-LOGICAL-c366t-3a17469e27338c07c0937f12dc33ad61169bd8111f2713e16250f2103eaa39263</cites><orcidid>0000-0002-5171-6805 ; 0000-0001-5451-2042 ; 0000-0002-2722-3058 ; 0000-0002-2461-2031 ; 0000-0003-1269-7442 ; 0000-0003-0804-2654</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34006183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sezen, Celal Bugra</creatorcontrib><creatorcontrib>Kalafat, Cem Emrah</creatorcontrib><creatorcontrib>Doğru, Mustafa Vedat</creatorcontrib><creatorcontrib>Aker, Cemal</creatorcontrib><creatorcontrib>Erdogu, Volkan</creatorcontrib><creatorcontrib>Saydam, Ozkan</creatorcontrib><creatorcontrib>Metin, Muzaffer</creatorcontrib><title>The effect of lymph node ratio on survival in non-small-cell lung cancer</title><title>Acta chirurgica belgica</title><addtitle>Acta Chir Belg</addtitle><description>The aim of this study was to evaluate the effect of prognostic factors and lymph node ratio (LNR) on survival in patients with resected non-small-cell lung cancer (NSCLC).
Data from 421 patients with NSCLC who underwent complete resection between 2009 and 2015 were evaluated retrospectively. LNR was defined as the ratio of positive lymph nodes to the total number of lymph nodes removed. Associations between overall survival (OS) and LNR, node (N) status, and histopathologic status were evaluated.
The 5-year survival rate was 42.5% among all patients and 26.6% for patients aged 65 years or older. In the multivariate analysis, age ≥65 years, advanced-stage disease, non-squamous cell carcinomas, pN status, and having multiple-station pN2 and multiple-station pN1 disease were found to be poor prognostic factors (p < 0.05). There was no statistical difference in survival between patients with LNR (hazard ratio: 1.04, p = 0.45).
The results of our study indicate that pN stage, histopathologic type, pT stage, and geriatric age were the most important poor prognostic factors associated with survival after NSCLC resection. Although LNR is a factor associated with survival in gastrointestinal cancers, it did not impact survival in our study.</description><subject>Aged</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>Humans</subject><subject>Lung cancer staging</subject><subject>Lung Neoplasms - pathology</subject><subject>Lymph Node Excision</subject><subject>Lymph Node Ratio</subject><subject>Lymph Nodes - pathology</subject><subject>Neoplasm Staging</subject><subject>non-small cell lung cancer</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>survival</subject><issn>0001-5458</issn><issn>2577-0160</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kMFOwzAMhiMEYtPgEUA5cumwkzZpbyAEDAmJC5yjkCasKG1G0oL29rTaxpGTZfn7besj5AJhiVDCNQBgkRflkgHDJVacYYlHZM4KKTNAAcdkPjHZBM3IeUqfYws5sFzKUzLjOYDAks_J6nVtqXXOmp4GR_223axpF2pLo-6bQENH0xC_m2_tadONky5LrfY-M9Z76ofugxrdGRvPyInTPtnzfV2Qt4f717tV9vzy-HR3-5wZLkSfcY0yF5VlkvPSgDRQcemQ1YZzXQtEUb3XJSI6JpFbFKwAxxC41ZpXTPAFudrt3cTwNdjUq7ZJ0zO6s2FIihWsrEDwQo5osUNNDClF69QmNq2OW4WgJo_q4FFNHtXe45i73J8Y3ltb_6UO1kbgZgc0nQux1T8h-lr1eutDdHHU0STF_7_xC4fzfpw</recordid><startdate>20230102</startdate><enddate>20230102</enddate><creator>Sezen, Celal Bugra</creator><creator>Kalafat, Cem Emrah</creator><creator>Doğru, Mustafa Vedat</creator><creator>Aker, Cemal</creator><creator>Erdogu, Volkan</creator><creator>Saydam, Ozkan</creator><creator>Metin, Muzaffer</creator><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5171-6805</orcidid><orcidid>https://orcid.org/0000-0001-5451-2042</orcidid><orcidid>https://orcid.org/0000-0002-2722-3058</orcidid><orcidid>https://orcid.org/0000-0002-2461-2031</orcidid><orcidid>https://orcid.org/0000-0003-1269-7442</orcidid><orcidid>https://orcid.org/0000-0003-0804-2654</orcidid></search><sort><creationdate>20230102</creationdate><title>The effect of lymph node ratio on survival in non-small-cell lung cancer</title><author>Sezen, Celal Bugra ; Kalafat, Cem Emrah ; Doğru, Mustafa Vedat ; Aker, Cemal ; Erdogu, Volkan ; Saydam, Ozkan ; Metin, Muzaffer</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-3a17469e27338c07c0937f12dc33ad61169bd8111f2713e16250f2103eaa39263</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aged</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>Humans</topic><topic>Lung cancer staging</topic><topic>Lung Neoplasms - pathology</topic><topic>Lymph Node Excision</topic><topic>Lymph Node Ratio</topic><topic>Lymph Nodes - pathology</topic><topic>Neoplasm Staging</topic><topic>non-small cell lung cancer</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>survival</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sezen, Celal Bugra</creatorcontrib><creatorcontrib>Kalafat, Cem Emrah</creatorcontrib><creatorcontrib>Doğru, Mustafa Vedat</creatorcontrib><creatorcontrib>Aker, Cemal</creatorcontrib><creatorcontrib>Erdogu, Volkan</creatorcontrib><creatorcontrib>Saydam, Ozkan</creatorcontrib><creatorcontrib>Metin, Muzaffer</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta chirurgica belgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sezen, Celal Bugra</au><au>Kalafat, Cem Emrah</au><au>Doğru, Mustafa Vedat</au><au>Aker, Cemal</au><au>Erdogu, Volkan</au><au>Saydam, Ozkan</au><au>Metin, Muzaffer</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of lymph node ratio on survival in non-small-cell lung cancer</atitle><jtitle>Acta chirurgica belgica</jtitle><addtitle>Acta Chir Belg</addtitle><date>2023-01-02</date><risdate>2023</risdate><volume>123</volume><issue>1</issue><spage>36</spage><epage>42</epage><pages>36-42</pages><issn>0001-5458</issn><eissn>2577-0160</eissn><abstract>The aim of this study was to evaluate the effect of prognostic factors and lymph node ratio (LNR) on survival in patients with resected non-small-cell lung cancer (NSCLC).
Data from 421 patients with NSCLC who underwent complete resection between 2009 and 2015 were evaluated retrospectively. LNR was defined as the ratio of positive lymph nodes to the total number of lymph nodes removed. Associations between overall survival (OS) and LNR, node (N) status, and histopathologic status were evaluated.
The 5-year survival rate was 42.5% among all patients and 26.6% for patients aged 65 years or older. In the multivariate analysis, age ≥65 years, advanced-stage disease, non-squamous cell carcinomas, pN status, and having multiple-station pN2 and multiple-station pN1 disease were found to be poor prognostic factors (p < 0.05). There was no statistical difference in survival between patients with LNR (hazard ratio: 1.04, p = 0.45).
The results of our study indicate that pN stage, histopathologic type, pT stage, and geriatric age were the most important poor prognostic factors associated with survival after NSCLC resection. Although LNR is a factor associated with survival in gastrointestinal cancers, it did not impact survival in our study.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>34006183</pmid><doi>10.1080/00015458.2021.1932181</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-5171-6805</orcidid><orcidid>https://orcid.org/0000-0001-5451-2042</orcidid><orcidid>https://orcid.org/0000-0002-2722-3058</orcidid><orcidid>https://orcid.org/0000-0002-2461-2031</orcidid><orcidid>https://orcid.org/0000-0003-1269-7442</orcidid><orcidid>https://orcid.org/0000-0003-0804-2654</orcidid></addata></record> |
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subjects | Aged Carcinoma, Non-Small-Cell Lung - pathology Humans Lung cancer staging Lung Neoplasms - pathology Lymph Node Excision Lymph Node Ratio Lymph Nodes - pathology Neoplasm Staging non-small cell lung cancer Prognosis Retrospective Studies survival |
title | The effect of lymph node ratio on survival in non-small-cell lung cancer |
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