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Pre-treatment systemic immune-inflammation represents a prognostic factor in patients with advanced non-small cell lung cancer
Inflammation plays an important role in pathogenesis, development and progression of lung cancer. The aim of the study is to assess the prognostic role of Systemic Immune-Inflammation Index (SII), obtained by analyzing the neutrophil, lymphocyte and platelet counts, and to design prognostic models f...
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Published in: | Annals of translational medicine 2019-10, Vol.7 (20), p.572-572 |
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creator | Berardi, Rossana Santoni, Matteo Rinaldi, Silvia Bower, Marc Tiberi, Michela Morgese, Francesca Caramanti, Miriam Savini, Agnese Ferrini, Consuelo Torniai, Mariangela Fiordoliva, Ilaria Newsom-Davis, Thomas |
description | Inflammation plays an important role in pathogenesis, development and progression of lung cancer. The aim of the study is to assess the prognostic role of Systemic Immune-Inflammation Index (SII), obtained by analyzing the neutrophil, lymphocyte and platelet counts, and to design prognostic models for patients receiving first-line chemo- or targeted therapy for advanced non-small cell lung cancer (NSCLC).
We conducted an analysis on 311 patients with advanced NSCLC, treated with first line chemo- or targeted therapy till June 2015 at our Institution. Patients were stratified in two groups with SII ≥1,270 (Group A)
SII |
doi_str_mv | 10.21037/atm.2019.09.18 |
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We conducted an analysis on 311 patients with advanced NSCLC, treated with first line chemo- or targeted therapy till June 2015 at our Institution. Patients were stratified in two groups with SII ≥1,270 (Group A)
SII <1,270 (Group B). Progression free survival (PFS) and overall survival (OS) were estimated using Kaplan-Meier method. The best SII cutoff was identified by X-tiles program. A Cox regression model was carried out for univariate and multivariate analyses.
At baseline, 179 patients had SII ≥1,270 (Group A), whilst 132 had lower SII (Group B). The median OS was 12.4 months in Group A and 21.7 months in Group B (P<0.001), whilst the median PFS was 3.3 and 5.2 months, respectively (P=0.029). At multivariate analysis, male gender, ECOG-PS ≥2 and SII >1,270 were predictors of worst OS, whilst IV tumor stage was only slightly significant (P=0.08). Otherwise, only wild-type EGFR status and SII ≥1,270 were independent prognostic factors for worst PFS.
Pre-treatment SII is an independent prognostic factor for patients with advanced NSCLC treated with first-line therapies.</description><identifier>ISSN: 2305-5839</identifier><identifier>EISSN: 2305-5839</identifier><identifier>DOI: 10.21037/atm.2019.09.18</identifier><identifier>PMID: 31807553</identifier><language>eng</language><publisher>China: AME Publishing Company</publisher><subject>Original</subject><ispartof>Annals of translational medicine, 2019-10, Vol.7 (20), p.572-572</ispartof><rights>2019 Annals of Translational Medicine. All rights reserved.</rights><rights>2019 Annals of Translational Medicine. All rights reserved. 2019 Annals of Translational Medicine.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c323t-7c0894a650d4caf46886b03084ce195b03cef5c352b63633e79c5317f5e2c9383</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861803/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861803/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31807553$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Berardi, Rossana</creatorcontrib><creatorcontrib>Santoni, Matteo</creatorcontrib><creatorcontrib>Rinaldi, Silvia</creatorcontrib><creatorcontrib>Bower, Marc</creatorcontrib><creatorcontrib>Tiberi, Michela</creatorcontrib><creatorcontrib>Morgese, Francesca</creatorcontrib><creatorcontrib>Caramanti, Miriam</creatorcontrib><creatorcontrib>Savini, Agnese</creatorcontrib><creatorcontrib>Ferrini, Consuelo</creatorcontrib><creatorcontrib>Torniai, Mariangela</creatorcontrib><creatorcontrib>Fiordoliva, Ilaria</creatorcontrib><creatorcontrib>Newsom-Davis, Thomas</creatorcontrib><title>Pre-treatment systemic immune-inflammation represents a prognostic factor in patients with advanced non-small cell lung cancer</title><title>Annals of translational medicine</title><addtitle>Ann Transl Med</addtitle><description>Inflammation plays an important role in pathogenesis, development and progression of lung cancer. The aim of the study is to assess the prognostic role of Systemic Immune-Inflammation Index (SII), obtained by analyzing the neutrophil, lymphocyte and platelet counts, and to design prognostic models for patients receiving first-line chemo- or targeted therapy for advanced non-small cell lung cancer (NSCLC).
We conducted an analysis on 311 patients with advanced NSCLC, treated with first line chemo- or targeted therapy till June 2015 at our Institution. Patients were stratified in two groups with SII ≥1,270 (Group A)
SII <1,270 (Group B). Progression free survival (PFS) and overall survival (OS) were estimated using Kaplan-Meier method. The best SII cutoff was identified by X-tiles program. A Cox regression model was carried out for univariate and multivariate analyses.
At baseline, 179 patients had SII ≥1,270 (Group A), whilst 132 had lower SII (Group B). The median OS was 12.4 months in Group A and 21.7 months in Group B (P<0.001), whilst the median PFS was 3.3 and 5.2 months, respectively (P=0.029). At multivariate analysis, male gender, ECOG-PS ≥2 and SII >1,270 were predictors of worst OS, whilst IV tumor stage was only slightly significant (P=0.08). Otherwise, only wild-type EGFR status and SII ≥1,270 were independent prognostic factors for worst PFS.
Pre-treatment SII is an independent prognostic factor for patients with advanced NSCLC treated with first-line therapies.</description><subject>Original</subject><issn>2305-5839</issn><issn>2305-5839</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNpVkc1vFSEUxYnR2KZ27c6wdDOvwB1mYGNiGr-SJrrQNeHx7rxiBhiBqenGv12mrU3dwE3OL4fDPYS85mwnOIPxwtawE4zrHdM7rp6RUwFMdlKBfv5kPiHnpfxkjHHBNTD2kpwAV2yUEk7Jn28Zu5qxWWGstNyWisE76kNYI3Y-TrMNwVafIs24ZCwNK9TSJadjTKU2drKupkx9pEsD7_Tfvl5Te7ix0eGBxhS7Euw8U4ftmNd4pG6T8ivyYrJzwfOH-4z8-Pjh--Xn7urrpy-X7686BwJqNzqmdG8HyQ69s1M_KDXsGTDVO-RattHhJB1IsR9gAMBROwl8nCQKp0HBGXl377us-4AH10JmO5sl-2DzrUnWm_-V6K_NMd2YQQ1tV9AM3j4Y5PRrxVJN8GX7jY2Y1mIECDH2HMYNvbhHXU6lZJwen-HM3BVn2rbNVpxh2vAt3Zun6R75fzXBX3Ptl50</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Berardi, Rossana</creator><creator>Santoni, Matteo</creator><creator>Rinaldi, Silvia</creator><creator>Bower, Marc</creator><creator>Tiberi, Michela</creator><creator>Morgese, Francesca</creator><creator>Caramanti, Miriam</creator><creator>Savini, Agnese</creator><creator>Ferrini, Consuelo</creator><creator>Torniai, Mariangela</creator><creator>Fiordoliva, Ilaria</creator><creator>Newsom-Davis, Thomas</creator><general>AME Publishing Company</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201910</creationdate><title>Pre-treatment systemic immune-inflammation represents a prognostic factor in patients with advanced non-small cell lung cancer</title><author>Berardi, Rossana ; Santoni, Matteo ; Rinaldi, Silvia ; Bower, Marc ; Tiberi, Michela ; Morgese, Francesca ; Caramanti, Miriam ; Savini, Agnese ; Ferrini, Consuelo ; Torniai, Mariangela ; Fiordoliva, Ilaria ; Newsom-Davis, Thomas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c323t-7c0894a650d4caf46886b03084ce195b03cef5c352b63633e79c5317f5e2c9383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Original</topic><toplevel>online_resources</toplevel><creatorcontrib>Berardi, Rossana</creatorcontrib><creatorcontrib>Santoni, Matteo</creatorcontrib><creatorcontrib>Rinaldi, Silvia</creatorcontrib><creatorcontrib>Bower, Marc</creatorcontrib><creatorcontrib>Tiberi, Michela</creatorcontrib><creatorcontrib>Morgese, Francesca</creatorcontrib><creatorcontrib>Caramanti, Miriam</creatorcontrib><creatorcontrib>Savini, Agnese</creatorcontrib><creatorcontrib>Ferrini, Consuelo</creatorcontrib><creatorcontrib>Torniai, Mariangela</creatorcontrib><creatorcontrib>Fiordoliva, Ilaria</creatorcontrib><creatorcontrib>Newsom-Davis, Thomas</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of translational medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Berardi, Rossana</au><au>Santoni, Matteo</au><au>Rinaldi, Silvia</au><au>Bower, Marc</au><au>Tiberi, Michela</au><au>Morgese, Francesca</au><au>Caramanti, Miriam</au><au>Savini, Agnese</au><au>Ferrini, Consuelo</au><au>Torniai, Mariangela</au><au>Fiordoliva, Ilaria</au><au>Newsom-Davis, Thomas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pre-treatment systemic immune-inflammation represents a prognostic factor in patients with advanced non-small cell lung cancer</atitle><jtitle>Annals of translational medicine</jtitle><addtitle>Ann Transl Med</addtitle><date>2019-10</date><risdate>2019</risdate><volume>7</volume><issue>20</issue><spage>572</spage><epage>572</epage><pages>572-572</pages><issn>2305-5839</issn><eissn>2305-5839</eissn><abstract>Inflammation plays an important role in pathogenesis, development and progression of lung cancer. The aim of the study is to assess the prognostic role of Systemic Immune-Inflammation Index (SII), obtained by analyzing the neutrophil, lymphocyte and platelet counts, and to design prognostic models for patients receiving first-line chemo- or targeted therapy for advanced non-small cell lung cancer (NSCLC).
We conducted an analysis on 311 patients with advanced NSCLC, treated with first line chemo- or targeted therapy till June 2015 at our Institution. Patients were stratified in two groups with SII ≥1,270 (Group A)
SII <1,270 (Group B). Progression free survival (PFS) and overall survival (OS) were estimated using Kaplan-Meier method. The best SII cutoff was identified by X-tiles program. A Cox regression model was carried out for univariate and multivariate analyses.
At baseline, 179 patients had SII ≥1,270 (Group A), whilst 132 had lower SII (Group B). The median OS was 12.4 months in Group A and 21.7 months in Group B (P<0.001), whilst the median PFS was 3.3 and 5.2 months, respectively (P=0.029). At multivariate analysis, male gender, ECOG-PS ≥2 and SII >1,270 were predictors of worst OS, whilst IV tumor stage was only slightly significant (P=0.08). Otherwise, only wild-type EGFR status and SII ≥1,270 were independent prognostic factors for worst PFS.
Pre-treatment SII is an independent prognostic factor for patients with advanced NSCLC treated with first-line therapies.</abstract><cop>China</cop><pub>AME Publishing Company</pub><pmid>31807553</pmid><doi>10.21037/atm.2019.09.18</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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title | Pre-treatment systemic immune-inflammation represents a prognostic factor in patients with advanced non-small cell lung cancer |
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