Prognostic value of systemic immune-inflammation index in patients with advanced non-small-cell lung cancer

Future Oncol. 2018 Oct;14(25):2643-2650. doi: 10.2217/fon-2018-0285. Epub 2018 May 11.

Abstract

Aim: We aimed to investigate the association between systemic immune-inflammation index (SII) and the clinical outcomes in patients with advanced non-small-cell lung cancer.

Materials & methods: The SII was calculated as platelet (P) × neutrophil (N)/lymphocyte (L), and the data were obtained within 1 week before treatment. Kaplan-Meier analysis and Cox proportional hazard models were used to assess the prognostic value of SII.

Results: Kaplan-Meier analyses revealed that the higher SII group was associated with poorer progression-free survival (p < 0.001) and poorer overall survival (p < 0.001). Multivariable Cox analysis further revealed SII as an independent prognostic factor for overall survival (p = 0.010) and progression-free survival (p = 0.001).

Conclusion: SII can serve as a useful biomarker to predict recurrence and death for patients with advanced non-small-cell lung cancer.

Keywords: advanced; non-small-cell lung cancer; prognostic; systemic immune-inflammation index.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Platelets
  • Carcinoembryonic Antigen / blood
  • Carcinoma, Non-Small-Cell Lung / blood
  • Carcinoma, Non-Small-Cell Lung / immunology*
  • Carcinoma, Non-Small-Cell Lung / mortality
  • Female
  • Humans
  • Inflammation / mortality*
  • Lung Neoplasms / blood
  • Lung Neoplasms / immunology*
  • Lung Neoplasms / mortality
  • Lymphocytes
  • Male
  • Middle Aged
  • Neutrophils
  • Positron Emission Tomography Computed Tomography
  • Prognosis
  • Proportional Hazards Models
  • Retrospective Studies

Substances

  • Carcinoembryonic Antigen