Aim: Estimate prognosis and clinical outcome of patients with localized or metastatic renal cell carcinoma (RCC) is an important issue which drive our medical decisions. Methods: We carried out a meta-analysis of available clinical studies exploring neutrophil-to-lymphocyte ratio (NLR) in RCC in order to evaluate if this ratio could be correlated to overall survival (OS) and progression-free survival (PFS) of patients with localized/metastatic RCC. Results: In overall population higher NLR resulted in worst OS and PFS (OS pooled hazard ratio of 1.80; 95% CI: 1.61-2.00; I 2 45%; PFS pooled hazard ratio of 1.69; 95% CI: 1.42-2.01; I 2 81%), this negative correlation was also confirmed in both metastatic and nonmetastatic patients. Conclusion: The NLR ratio is a variable correlated to prognosis in RCC patients.

Prognostic impact of neutrophil-to-lymphocyte ratio in renal cell carcinoma: A systematic review and meta-analysis

Porta C.;
2019-01-01

Abstract

Aim: Estimate prognosis and clinical outcome of patients with localized or metastatic renal cell carcinoma (RCC) is an important issue which drive our medical decisions. Methods: We carried out a meta-analysis of available clinical studies exploring neutrophil-to-lymphocyte ratio (NLR) in RCC in order to evaluate if this ratio could be correlated to overall survival (OS) and progression-free survival (PFS) of patients with localized/metastatic RCC. Results: In overall population higher NLR resulted in worst OS and PFS (OS pooled hazard ratio of 1.80; 95% CI: 1.61-2.00; I 2 45%; PFS pooled hazard ratio of 1.69; 95% CI: 1.42-2.01; I 2 81%), this negative correlation was also confirmed in both metastatic and nonmetastatic patients. Conclusion: The NLR ratio is a variable correlated to prognosis in RCC patients.
File in questo prodotto:
File Dimensione Formato  
Immunotherapy 2019 [N-L ratio in RCC].pdf

non disponibili

Descrizione: Article
Tipologia: Documento in Versione Editoriale
Licenza: NON PUBBLICO - Accesso privato/ristretto
Dimensione 1.32 MB
Formato Adobe PDF
1.32 MB Adobe PDF   Visualizza/Apri   Richiedi una copia

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11586/327438
Citazioni
  • ???jsp.display-item.citation.pmc??? 21
  • Scopus 38
  • ???jsp.display-item.citation.isi??? 38
social impact