THE PROGNOSTIC ROLE OF SYSTEMIC IMMUNE-INFLAMMATION IN III-IV STAGE NON-SMALL CELL LUNG CANCER PATIENTS
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Abstract
Objective: To assess the prognostic role of pre-tretment systemic immune-inflammation index (SII) in advaced, metastsis non-small cell lung cancer patients treated with first-line chemotherapy. Methods: cross-sectional study design was conducted on 51 III-IV stage non-small cell lung cancer patients treated with first-line chemotherapy at Oncology Center of Thai Nguyen National Hospital from 01/01/2017 to 31/12/2018. SII index was calculated using formula: platlet count x neutrophil/lymphcyte count. The oftimal cut-off value was calculated by ROC curve. The median overall survival time (OS) were estimated using Kaplan-Meier method. A Log-rank test and Cox-regression model were carried out for univariate and multivariate analyses. Results: 22 patients had high SII (≥1.409) and 29 patients had low SII (<1.409). The median OS time was 23,7 months in low SII group and 13,1 months in high SII group (p<0,05). At multivariate analysis, pre-treatment SII and ECOG-PS were independent prognostic factors for worst OS. Conclusions: Pre-treament SII is independent prognostic factor for advaced non-small cell lung cancer patients treated with frst-line chemotherapy.
Article Details
Keywords
systemic immune-inflammation, non-mall cell lung cancer, chemotherapy, prognostic factor
References
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