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자료유형
학술저널
저자정보
Deng-xiong Li (Department of Urology Institute of Urology West China Hospital Sichuan University Chengdu China) Xiao-ming Wang (Department of Urology Institute of Urology West China Hospital Sichuan University Chengdu China) Yin Tang (Sichuan University) Yu-bo Yang (Department of Urology Institute of Urology West China Hospital Sichuan University Chengdu China) Dechao Feng (Sichuan University) Ao Li (Department of Urology Institute of Urology West China Hospital Sichuan University Chengdu China) Fa-cai Zhang (Department of Urology Institute of Urology West China Hospital Sichuan University Chengdu China) Yun-jin Bai (Department of Urology Institute of Urology West China Hospital Sichuan University Chengdu China) Ping Han (Sichuan University)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.62 No.6
발행연도
2021.11
수록면
641 - 649 (9page)
DOI
https://doi.org/10.4111/icu.20210278

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Purpose: Many studies identified that the preoperative neutrophil-to-lymphocyte ratio (PNLR) was associated with patient prognosis in non-muscle-invasive bladder cancer (NMIBC). We hypothesized that PNLR could be prognostic in patients with histological variants of NMIBC (VH-NMIBC). Materials and Methods: This retrospective study included patients with VH-NMIBC admitted at our center between January 2009 and May 2019. The best cut-off value of NLR was measured by the receiver operating characteristic curve and Youden index. The Kaplan-Meier method and Cox proportional hazard regression models were employed to evaluate the association between PNLR and disease prognosis, including recurrence-free survival (RFS), progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS). Results: A total of 243 patients with VH-NMIBC were enrolled in our study. According to the Kaplan-Meier method results, patients with PNLR ≥2.2 were associated with poor RFS (p<0.001), PFS (p<0.001), CSS (p<0.001), and OS (p<0.001). Multivariable analyses indicated that PNLR ≥ 2.2 was an independent prognostic factor of RFS (hazard ratio [HR], 2.11; 95% confidence interval [CI, 1.57?1.83; p<0.001), PFS (HR, 2.34; 95% CI, 1.70?3.21; p<0.001), CCS (HR, 2.87; 95% CI, 1.96?4.18; p< 0.001), and OS (HR, 2.83; 95% CI, 1.96?4.07; p<0.001). Conclusions: This study identified that PNLR ≥2.2 was usually associated with a poor prognosis for patients with VH-NMIBC.

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