The Modified Glasgow Prognostic Score and Prognostic Nutritional Index as Prognostic Markers in Patients With Metastatic Breast Cancer Treated With Eribulin

In Vivo. 2022 Jul-Aug;36(4):1854-1859. doi: 10.21873/invivo.12903.

Abstract

Aim: To examine the role of the Modified Glasgow Prognostic Score (mGPS) and Prognostic Nutritional Index (PNI) as prognostic markers for patients with metastatic breast cancer (MBC).

Patients and methods: We investigated the associations of clinico-pathological factors with time-to-treatment failure (TTF) and overall survival (OS) in 110 patients with MBC treated with eribulin.

Results: C-Reactive protein >1 mg/dl, albumin <3.5 g/dl, mGPS=2, and PNI <40 were significant predictors of shorter TTF in univariate analyses. PNI <40 remained a significant and independent predictor of shorter TTF in multivariate analyses. De novo tumor, visceral metastases, C-reactive protein >1 mg/dl, albumin <3.5 g/dl, mGPS=2, and PNI <40 were significant predictors of poor OS at the univariate level. A PNI <40 was a significant and independent predictor of poor OS in multivariate analyses.

Conclusion: PNI is a reliable predictor of TTF and OS in patients with MBC treated with eribulin.

Keywords: Breast cancer; eribulin; modified Glasgow Prognostic Score; prognostic marker; prognostic nutritional index.

MeSH terms

  • Breast Neoplasms* / drug therapy
  • C-Reactive Protein / metabolism
  • Female
  • Furans
  • Humans
  • Ketones
  • Nutrition Assessment*
  • Prognosis
  • Retrospective Studies

Substances

  • Furans
  • Ketones
  • C-Reactive Protein
  • eribulin