Enhanced coagulation index: a potent prognostic indicator for clinical outcomes in non-metastatic breast cancer following surgery and adjuvant therapy

  • 0The Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.

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Summary

This summary is machine-generated.

The APTT/TT ratio can predict breast cancer patient prognosis. Higher APTT/TT ratios are linked to poorer disease-free survival, suggesting its use in treatment assessment.

Area Of Science

  • Oncology
  • Hematology
  • Biochemistry

Background

  • Limited research exists on complex coagulation markers and cancer prognosis.
  • Single coagulation markers show some correlation with malignant tumor prognosis.
  • This study explores complex coagulation markers in nonmetastatic breast cancer outcomes.

Purpose Of The Study

  • To investigate the relationship between complex coagulation markers and clinical outcomes in nonmetastatic breast cancer patients.
  • To assess the prognostic value of coagulation markers in breast cancer patients receiving comprehensive treatment.

Main Methods

  • Retrospective cohort study of 264 breast cancer patients (2016-2018).
  • Analysis of patient data from Suqian Hospital, Xuzhou Medical University.
  • Utilized Subject-working characteristic curves, X-TILE analysis, and multivariate Cox regression models.

Main Results

  • The optimal cut-off for APTT/TT ratio was identified as 1.4.
  • A higher APTT/TT ratio (≥1.4) was associated with limited 5-year disease-free survival (DFS).
  • Increased APTT/TT ratio (HR=4.057) and lymph node metastases (HR=2.324) were independent prognostic factors for DFS.

Conclusions

  • The APTT/TT ratio plays a crucial role in predicting breast cancer prognosis post-treatment.
  • Integrating coagulation markers with clinicopathological indices can improve prognostic assessments.
  • Findings highlight the clinical utility of the APTT/TT ratio in breast cancer management.