Pretreatment plasma fibrinogen and serum albumin levels predict therapeutic efficacy of concurrent radiochemotherapy for esophageal squamous cell cancer

Jijin Wang; Di Huang; Yuanyuan Wang; Qianqian Yuan; Xue Chen; Yufeng Cheng

doi:10.3389/fonc.2022.1021214

Pretreatment plasma fibrinogen and serum albumin levels predict therapeutic efficacy of concurrent radiochemotherapy for esophageal squamous cell cancer

Front Oncol. 2022 Oct 13:12:1021214. doi: 10.3389/fonc.2022.1021214. eCollection 2022.

Authors

Jijin Wang¹, Di Huang², Yuanyuan Wang³, Qianqian Yuan⁴, Xue Chen⁵, Yufeng Cheng²

Affiliations

¹ Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangzhou, China.
² Department of Radiation Oncology, Qilu Hospital of Shandong University, Jinan, China.
³ Department of Oncology, Linyi People's Hospital, Dezhou, China.
⁴ Department of Oncology, Tengzhou Central People's Hospital, Zaozhuang, China.
⁵ Department of Minimally Invasion Oncology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China.

Abstract

Purpose: Evidence implies that plasma fibrinogen and serum albumin level (FA score) based on plasma fibrinogen and serum albumin is related to cancer prognosis. However, the association between the FA score and therapeutic efficacy of concurrent radiochemotherapy in esophageal squamous cell carcinoma (ESCC) has not yet been evaluated. This study aimed to assess the role of pretreatment FA score in predicting the therapeutic efficacy of concurrent radiochemotherapy for patients with esophageal squamous cell cancer.

Methods: This retrospective study evaluated 154 patients with ESCC who underwent concurrent radiochemotherapy. Receiver operating characteristic curve (ROC) analysis was used to determine the appropriate cut-off values, and multivariate analysis and Kaplan-Meier curve were used to evaluate prognosis.

Results: FA score was significantly associated with the N stage and M stage (P = 0.015 and 0.042, respectively). Chi-square analysis/Fisher's exact tests revealed a correlation between the FA score and curative effect (P < 0.001), and higher FA score was associated with poorer treatment effect. Multivariate analysis indicated that FA score (P < 0.001) was predictor of overall survival (OS). Kaplan-Meier curve demonstrated that pretreatment FA score was significantly associated with the OS of ESCC: Patient with higher FA score has lower median OS.

Conclusions: The FA score is a reliable prognostic predictor that could assess the curative effect and OS benefit of concurrent radiochemotherapy in patients with ESCC.

Keywords: FA score; concurrent radiochemotherapy; esophageal squamous cell carcinoma (ESCC); survival; therapeutic efficacy.