Abstract
The prognostic nutritional index (PNI) has been widely used to predict survival outcomes of patients with various malignant tumors. The purpose of this study is to assess the prognostic value of PNI and analyze the effects of preoperative clinical indicators in patients with esophageal squamous cell carcinoma (ESCC). The optimal threshold of PNI is determined by ROC curve analysis, and the correlation between PNI and clinical indicators is evaluated by Chi square test and Fisher’s exact test. The results showed that PNI has been significantly correlated with gender, BMI, T stage, Eosinophil count, Erythrocyte count, Hemoglobin concentration, TP, Albumin and Globulin. PNI is positively related to LMR, NLR and PLR by Spearman’s rank correlation coefficient. Univariate Cox regression model declared that PFS has been vitally correlated with T stage, N stage, TNM stage, EC and PT. Further, multivariate Cox regression model analyses showed that PFS has been significantly correlated with N stage and PT. ROC curve analysis expressed that the combination of N stage and EC has better accuracy and validity in predicting the severity of the patient. The present study determines that N stages, EC and PT are valuable factors in predicting patient’s survival outcomes, as well as independent indicators for poor prognosis.
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Acknowledgements
This work was supported in part by the National Key R and D Program of China for International S and T Cooperation Projects (2017YFE0103900), in part by the Joint Funds of the National Natural Science Foundation of China (U1804262), in part by the State Key Program of National Natural Science of China under Grant 61632002, in part by the National Natural Science of China under Grant 61603348, Grant 61775198, Grant 61603347, and Grant 61572446, in part by the Foundation of Young Key Teachers from University of Henan Province (2018GGJS092), and in part by the Youth Talent Lifting Project of Henan Province 2018HYTP016 and Henan Province University Science and Technology Innovation Talent Support Plan under Grant 20HASTIT027.
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Zhang, Z., Yang, Q., Wang, Y. (2020). Predictive Values of Preoperative Index Analysis in Patients with Esophageal Squamous Cell Carcinoma. In: Pan, L., Liang, J., Qu, B. (eds) Bio-inspired Computing: Theories and Applications. BIC-TA 2019. Communications in Computer and Information Science, vol 1160. Springer, Singapore. https://doi.org/10.1007/978-981-15-3415-7_38
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DOI: https://doi.org/10.1007/978-981-15-3415-7_38
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