2015
DOI: 10.1245/s10434-015-4869-5
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Prognostic Significance of Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio in Oncologic Outcomes of Esophageal Cancer: A Systematic Review and Meta-analysis

Abstract: NLR and PLR are associated with tumor progression and are predictive of poorer survival in patients with esophageal cancer. These ratios may thus help to inform treatment decisions and predict treatment outcomes.

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Cited by 321 publications
(273 citation statements)
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“…This finding is consistent with other smaller studies demonstrating that elevated NLR portends poor prognosis in solid tumor malignancies. [1][2][3][4][5][6][7][8][9][10][11][12][13] Other studies in patients with hepato-pancreato-biliary (HPB) cancers agree with the findings presented in this paper. In a study of 452 patients who underwent a HPB procedure for malignant disease, NLR >5 was found to be associated with worse OS.…”
Section: Discussionsupporting
confidence: 92%
See 1 more Smart Citation
“…This finding is consistent with other smaller studies demonstrating that elevated NLR portends poor prognosis in solid tumor malignancies. [1][2][3][4][5][6][7][8][9][10][11][12][13] Other studies in patients with hepato-pancreato-biliary (HPB) cancers agree with the findings presented in this paper. In a study of 452 patients who underwent a HPB procedure for malignant disease, NLR >5 was found to be associated with worse OS.…”
Section: Discussionsupporting
confidence: 92%
“…Elevated NLR is independently associated with worse outcomes in cancers of the breast, 1,2 thyroid, 3 colon, 4 stomach, 5 prostate, 6 lung, 7 adrenal, 8 pancreas 9,10 urogenital tract, 11 esophagus 12 and in glioblastoma, 13 as well as hematologic cancers, including multiple myeloma 14 and diffuse large B-cell lymphoma. 15 According to a recent systematic review and meta-analysis including 100 studies and greater than 40,000 patients, high NLR is associated with adverse overall survival (OS) in many solid tumors.…”
Section: Introductionmentioning
confidence: 99%
“…For these reasons, the ratio between these two leukocyte subgroups is used as a predictive and prognostic marker in inflammatory events (12,13), cardiovascular diseases (7-9,11,14-17) and cancer cases (18)(19)(20)(21).…”
Section: Resultsmentioning
confidence: 99%
“…Especially, increased NLR, PLR, and MPV were associated with some types of cancer (21,22). Increased NLR and MPV are also associated with inflammatory diseases (23).…”
Section: Discussionmentioning
confidence: 97%