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  1. 医歯学総合研究科
  2. 医歯学総合研究科・博士論文

Combined neutrophil-lymphocyte ratio and platelet-lymphocyte ratio predicts chemotherapy response and prognosis in patients with advanced gastric cancer

http://hdl.handle.net/10232/00031063
http://hdl.handle.net/10232/00031063
06fca8c8-ebf5-4ec5-bafb-745ae41f04ea
名前 / ファイル ライセンス アクション
Diss_平原_徹志_ISK539_2019.pdf Diss_平原_徹志_ISK539_2019 (1.0 MB)
Abstract_平原_徹志_4511810233_2019.pdf Abstract_平原_徹志_4511810233_2019 (221.8 kB)
Result_Hirahara_Tetsushi_isk_539.pdf Result_Hirahara_Tetsushi_isk_539 (192.9 kB)
Comments_Hirahara_Tetsushi_isk_539.pdf Comments_Hirahara_Tetsushi_isk_539 (91.6 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2020-05-21
タイトル
タイトル Combined neutrophil-lymphocyte ratio and platelet-lymphocyte ratio predicts chemotherapy response and prognosis in patients with advanced gastric cancer
別言語のタイトル
その他のタイトル NLR-PLRスコアは、進行胃癌に対する化学療法の治療効果と予後を予測する
著者 平原, 徹志

× 平原, 徹志

WEKO 135801

平原, 徹志

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著者よみ
姓名 ヒラハラ, テツシ
別言語の著者
姓名 HIRAHARA, Tetsushi
言語
言語 eng
キーワード
主題言語 en
主題Scheme Other
主題 Neutrophil–lymphocyte ratio
キーワード
主題言語 en
主題Scheme Other
主題 Platelet–lymphocyte ratio
キーワード
主題言語 en
主題Scheme Other
主題 Chemotherapy response
キーワード
主題言語 en
主題Scheme Other
主題 Prognosis
キーワード
主題言語 en
主題Scheme Other
主題 Advanced gastric cancer
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
要約(Abstract)
内容記述タイプ Other
内容記述 Background: The neutrophil–lymphocyte ratio (NLR) and platelet–lymphocyte ratio (PLR) are representative blood markers of systemic inflammatory responses. However, the clinical significance of the combination of these markers is unclear. This study aimed to investigate the NLR and PLR in patients with advanced gastric cancer treated with chemotherapy and assess the clinical utility of a new blood score combining the NLR and PLR (NLR-PLR score) as a predictor of tumor response and prognosis.
Methods: We retrospectively analyzed 175 patients with gastric cancer receiving chemotherapy or chemoradiotherapy. These patients were categorized into progressive disease (PD) and non-PD groups according to tumor response. The NLR and PLR before treatment were examined, and the cut-off values were determined. The NLR-PLR score ranged from 0 to 2 as follows: score of 2, high NLR (> 2.461) and high PLR (> 248.4); score of 1, either high NLR or high PLR; score of 0, neither high NLR nor high PLR.
Results: With regard to tumor response, 64 and 111 patients had PD and non-PD, respectively. The NLR-PLR score was significantly higher in patients with PD than in those with non-PD (p = 0.0009). The prognosis was significantly poorer in patients with a higher NLR-PLR score than in those with a lower NLR-PLR score (p < 0.0001). Multivariate analysis demonstrated that the NLR-PLR score was an independent prognostic factor for prediction of overall survival (p = 0.0392).
Conclusion: Low-cost stratification according to the NLR-PLR score might be a promising approach for predicting tumor response and prognosis in patients with advanced gastric cancer.
要約(Abstract)
内容記述タイプ Other
内容記述 Tetsushi Hirahara, Takaaki Arigami, Shigehiro Yanagita, Daisuke Matsushita, Yasuto Uchikado, Yoshiaki Kita, Shinichiro Mori, Ken Sasaki, Itaru Omoto, Hiroshi Kurahara, Kosei Maemura, Keishi Okubo, Yoshikazu Uenosono, Sumiya Ishigami and Shoji Natsugoe
Combined neutrophil-lymphocyte ratio and platelet-lymphocyte ratio predicts chemotherapy response and prognosis in patients with advanced gastric cancer
BMC Cancer (2019) 19:672
https://doi.org/10.1186/s12885-019-5903-y
作成日
日付 2020-03-06
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
NDC
主題Scheme NDC
主題 490
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文全文
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文要旨
ファイル(説明)
内容記述タイプ Other
内容記述 最終試験結果の要旨
ファイル(説明)
内容記述タイプ Other
内容記述 論文審査の要旨
公開者・出版者
出版者 BMC
公開者・出版者
出版者 鹿児島大学
公開者よみ
公開者よみ カゴシマ ダイガク
公開者別名
公開者別名 Kagoshima University
備考
備考 【指導教員:夏越祥次】
date.appl
【学位申請日】2020-01-08
学位名
学位名 博士(医学)Doctor of Philosophy in Medical Science
学位授与機関
学位授与機関識別子Scheme kakenhi
学位授与機関識別子 17701
学位授与機関名 鹿児島大学
学位授与年月日
学位授与年月日 2020-03-12
学位授与番号
学位授与番号 甲総研第539号
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