Research Papers:
Prognostic nutritional index as a prognostic biomarker for survival in digestive system carcinomas
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Abstract
Yang Zhao1,*, Peng Xu1,*, Huafeng Kang1, Shuai Lin1, Meng Wang1, Pengtao Yang1, Cong Dai1, Xinghan Liu1, Kang Liu1, Yi Zheng1, Zhijun Dai1
1Department of Oncology, The Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi Province, PR China
*These authors contributed equally to this work and share joint first authorship
Correspondence to:
Zhijun Dai, email: [email protected]
Keywords: prognostic nutritional index, digestive system carcinomas, prognosis, meta-analysis
Received: June 16, 2016 Accepted: November 08, 2016 Published: November 19, 2016
ABSTRACT
The prognostic nutritional index (PNI) has been reported to correlate with the prognosis in patients with various malignancies. We performed a meta-analysis to determine the predictive potential of PNI in digestive system cancers. Twenty-three studies with a total of 7,384 patients suffering from digestive system carcinomas were involved in this meta-analysis. A lower PNI was significantly associated with the shorter overall survival (OS) [Hazard Ratio (HR) 1.83, 95% Confidence Interval (CI) 1.62–2.07], the poorer disease-free survival (DFS) (HR 1.85, 95% CI 1.19–2.89), and the higher rate of post-operative complications (HR 2.31, 95% CI 1.63–3.28). In conclusion, PNI was allowed to function as an efficient indicator for the prognosis of patients with digestive system carcinomas.
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PII: 13472