Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer

Background: Cancer prognoses have been indicated to be associated with Onodera’s prognostic nutritional index (OPNI), the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), and the systemic immune-inflammatory index (SII). We investigated the prognostic value of the OPNI,...

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Main Authors: Yan Han, Weiqin Lv, Jianfei Guo, Yun Shang, Fan Yang, Xiaomin Zhang, Keyuan Xiao, Liang Zong, Wenqing Hu
Format: Article
Language:English
Published: IMR Press 2024-08-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/51/8/10.31083/j.ceog5108183
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author Yan Han
Weiqin Lv
Jianfei Guo
Yun Shang
Fan Yang
Xiaomin Zhang
Keyuan Xiao
Liang Zong
Wenqing Hu
author_facet Yan Han
Weiqin Lv
Jianfei Guo
Yun Shang
Fan Yang
Xiaomin Zhang
Keyuan Xiao
Liang Zong
Wenqing Hu
author_sort Yan Han
collection DOAJ
description Background: Cancer prognoses have been indicated to be associated with Onodera’s prognostic nutritional index (OPNI), the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), and the systemic immune-inflammatory index (SII). We investigated the prognostic value of the OPNI, NLR, PLR, and SII for serous ovary cancer (SOC). Methods: We retrospectively analyzed the cases of 133 patients with SOC treated at our institution from 2014 to 2021. The survival of the patients was assessed utilizing the Kaplan-Meier method to analyze overall survival (OS). Additionally, a multivariate analysis employing the Cox proportional hazard regression model was conducted to identify the independent prognostic factors for SOC. The positive event for the ROC diagnosis is mortality during follow-up. Results: The results revealed the following optimal cut-off points: OPNI, 45.5; NLR, 2.3; PLR, 224.4; and SII, 747.5. A comparative analysis demonstrated significant differences between high- and low-OPNI score groups in the treatment method, tumor stage, lymph node metastasis, albumin, NLR, PLR, and SII; other indicators are not irrelevant. We also observed that the OPNI, NLR, PLR, and SII were related to OS: the OPNI score was positively correlated with OS whereas the NLR, PLR, and SII values were negatively correlated with OS. These results identified the OPNI as the best prognostic indicator for SOC. Conclusions: Our findings demonstrate that the OPNI, NLR, PLR, and SII could be used as predictive and prognostic parameters for SOC.
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spelling doaj-art-411c0d97aea54cc4bf21b30ee087abae2025-08-20T03:55:35ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632024-08-0151818310.31083/j.ceog5108183S0390-6663(24)02343-1Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary CancerYan Han0Weiqin Lv1Jianfei Guo2Yun Shang3Fan Yang4Xiaomin Zhang5Keyuan Xiao6Liang Zong7Wenqing Hu8Department of Gynecology, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaDepartment of Gynecology, Yuncheng Central Hospital, The Affiliated Hospital of Shanxi Medical University, 044000 Yuncheng, Shanxi, ChinaDepartment of Gynecology, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaDepartment of Gynecology, Yuncheng Central Hospital, The Affiliated Hospital of Shanxi Medical University, 044000 Yuncheng, Shanxi, ChinaDepartment of Central laboratory, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaDepartment of Central laboratory, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaDepartment of Central laboratory, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaDepartment of Central laboratory, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaDepartment of Gastrointestinal Surgery, Changzhi People's Hospital, The Third Clinical College of Changzhi Medical College, 046000 Changzhi, Shanxi, ChinaBackground: Cancer prognoses have been indicated to be associated with Onodera’s prognostic nutritional index (OPNI), the neutrophil-to-lymphocyte ratio (NLR), the platelet-to-lymphocyte ratio (PLR), and the systemic immune-inflammatory index (SII). We investigated the prognostic value of the OPNI, NLR, PLR, and SII for serous ovary cancer (SOC). Methods: We retrospectively analyzed the cases of 133 patients with SOC treated at our institution from 2014 to 2021. The survival of the patients was assessed utilizing the Kaplan-Meier method to analyze overall survival (OS). Additionally, a multivariate analysis employing the Cox proportional hazard regression model was conducted to identify the independent prognostic factors for SOC. The positive event for the ROC diagnosis is mortality during follow-up. Results: The results revealed the following optimal cut-off points: OPNI, 45.5; NLR, 2.3; PLR, 224.4; and SII, 747.5. A comparative analysis demonstrated significant differences between high- and low-OPNI score groups in the treatment method, tumor stage, lymph node metastasis, albumin, NLR, PLR, and SII; other indicators are not irrelevant. We also observed that the OPNI, NLR, PLR, and SII were related to OS: the OPNI score was positively correlated with OS whereas the NLR, PLR, and SII values were negatively correlated with OS. These results identified the OPNI as the best prognostic indicator for SOC. Conclusions: Our findings demonstrate that the OPNI, NLR, PLR, and SII could be used as predictive and prognostic parameters for SOC.https://www.imrpress.com/journal/CEOG/51/8/10.31083/j.ceog5108183serous ovary cancerneutrophil to lymphocyte ratioplatelet to lymphocyte ratiosystemic immune-inflammatory indexonodera's prognostic nutritional index
spellingShingle Yan Han
Weiqin Lv
Jianfei Guo
Yun Shang
Fan Yang
Xiaomin Zhang
Keyuan Xiao
Liang Zong
Wenqing Hu
Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer
Clinical and Experimental Obstetrics & Gynecology
serous ovary cancer
neutrophil to lymphocyte ratio
platelet to lymphocyte ratio
systemic immune-inflammatory index
onodera's prognostic nutritional index
title Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer
title_full Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer
title_fullStr Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer
title_full_unstemmed Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer
title_short Prognostic Significance of Inflammatory and Nutritional Indices for Serous Ovary Cancer
title_sort prognostic significance of inflammatory and nutritional indices for serous ovary cancer
topic serous ovary cancer
neutrophil to lymphocyte ratio
platelet to lymphocyte ratio
systemic immune-inflammatory index
onodera's prognostic nutritional index
url https://www.imrpress.com/journal/CEOG/51/8/10.31083/j.ceog5108183
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