Abstract. Background: The systemic immune-inflammation index (SII) is reported to be associated with clinical outcomes and has been proven to be a promising prognostic indicator inCancer-related inflammation is an essential component of the tumor microenvironment, and inflammatory cells may play a critical role in tumor development and progression (1). It has been shown that markers of inflammation and scoring systems based on the systemic inflammatory response are of prognostic value in patients with non-small cell lung cancer (NSCLC) (2). In particular, various combinations of hematological parameters [including C-reactive protein (CRP) concentration, the neutrophil-to-lymphocyte ratio (NLR), and the Glasgow prognostic score (GPS)] have been evaluated as predictors of recurrence or survival in NSCLC (3-6).Recently, a novel index named the systemic immuneinflammation index (SII), based on the peripheral lymphocyte, neutrophil and platelet counts, was investigated as a prognostic marker in several tumor types (7). Geng et al. suggested that SII was superior to other such indices, such as NLR, and served as a more objective marker that reflects the balance between host inflammatory and immune response status in patients with esophageal squamous cell carcinoma (8).With regard to lung cancer, the prognostic significance of SII was reported for small cell lung cancer (9) and stage III NSCLC (10). However, to our knowledge, there are no previous studies that evaluated the significance of SII for resectable NSCLC. Therefore, in the present study, we examined the prognostic significance of SII in patients with resectable NSCLC.
Patients and MethodsThis retrospective study was approved by our Institutional Review Board (O-0255) and the need to obtain patient consent was waived. We retrospectively reviewed data from 341 patients (with 173 men and 168 women, median age of 69 years) who underwent complete resection for NSCLC at our hospital from January 2008 to December 2012. The inclusion criteria were as follows: histologically confirmed NSCLC and complete clinical, laboratory, imaging and follow-up data. The exclusion criteria included: preoperative chemotherapy/radiotherapy or death during the 663