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  4. Oncology And Carcinogenesis
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  6. Prognostic Role Of Platelet-to-lymphocyte Ratio And Neutrophil-to-lymphocyte Ratio In Patients With Non-metastatic And Metastatic Prostate Cancer: A Meta-analysis And Systematic Review

Prognostic role of platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio in patients with non-metastatic and metastatic prostate cancer: A meta-analysis and systematic review

Stefano Salciccia1, Marco Frisenda1, Giulio Bevilacqua1

  • 1Department of Urology, Sapienza Rome University, Policlinico Umberto I, 00161 Rome, Italy.

Asian Journal of Urology
|April 29, 2024

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Microarray-based Identification of Individual HERV Loci Expression: Application to Biomarker Discovery in Prostate Cancer
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View abstract on PubMed

Summary
This summary is machine-generated.

The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) show prognostic value in prostate cancer (PCa). High NLR is linked to increased mortality risk in metastatic PCa patients receiving systemic treatment.

Area of Science:

  • Oncology
  • Inflammation Biomarkers
  • Prognostic Indicators

Background:

  • The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are emerging biomarkers.
  • Their prognostic significance in prostate cancer (PCa) requires comprehensive analysis.

Purpose of the Study:

  • To systematically evaluate the prognostic value of NLR and PLR in PCa patients.
  • To stratify analyses based on disease status: non-metastatic versus metastatic.

Main Methods:

  • A meta-analysis was conducted following PRISMA guidelines.
  • Pooled event rates and hazard ratios were calculated using random-effects models.
  • Data were synthesized from 42 selected articles.

Main Results:

Keywords:
Meta-analysisMetastaticNeutrophil-to-lymphocyte ratioPlatelet-to-lymphocyte ratio

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  • The platelet-to-lymphocyte ratio (PLR) showed a significant association with non-organ confined PCa (pooled risk difference: 0.30).
  • In non-metastatic PCa, both NLR and PLR indicated increased mortality risk (HR: 1.33 and 1.47, respectively), though not statistically significant.
  • In metastatic PCa, a high NLR significantly correlated with increased overall mortality risk (HR: 1.79).
  • Conclusions:

    • NLR and PLR reflect inflammatory and immune status in PCa patients.
    • A high NLR demonstrates a significant predictive value for overall mortality in metastatic PCa patients undergoing systemic therapy.
    • Heterogeneity among studies highlights the need for further research.
    Prostatic neoplasm
    Radical prostatectomy