1. Clinical Implications of Naples Prognostic Score for Patients with Resected Cholangiocarcinoma: A Real-World Experience
- Author
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Xu,Benjie, Zhu,Jiahao, Wang,Ren, Pang,Xiangyi, Wang,Xin, Lian,Jie, Lu,Haibo, Xu,Benjie, Zhu,Jiahao, Wang,Ren, Pang,Xiangyi, Wang,Xin, Lian,Jie, and Lu,Haibo
- Abstract
Benjie Xu,* Jiahao Zhu,* Ren Wang, Xiangyi Pang, Xin Wang, Jie Lian, Haibo Lu Department of Outpatient Chemotherapy, Harbin Medical University Cancer Hospital, Harbin, Peopleâs Republic of China*These authors contributed equally to this workCorrespondence: Jie Lian; Haibo Lu, Harbin Medical University Cancer Hospital, No. 150 Haping Road, Nangang District, Harbin, Heilongjiang Province, 150081, Peopleâs Republic of China, Tel +86 451 85718309, Email lianjie@hrbmu.edu.cn; luhaibo@hrbmu.edu.cnPurpose: The Nutritional Prognostic Score (NPS) is a composite indicator that effectively reflects the preoperative nutritional and inflammation status of patients. Its prognostic value has been extensively confirmed in various types of tumors. Our study aims to investigate the clinical implications of the NPS in the postoperative patients with cholangiocarcinoma (CCA).Patients and Methods: Data on clinicopathological characteristics were collected from CCA patients who underwent radical surgery between 2014 and 2019 at Harbin Medical University Cancer Hospital. NPS was calculated using relevant indicators to categorize the patients, and association of NPS with clinicopathological characteristics and survival outcomes were analyzed. To assess differences in survival rates between different groups, we utilized the Kaplan-Meier method. Independent prognostic risk factors were identified by Cox regression analysis. A CONomogram was created, and its accuracy in survival prediction was evaluated using receiver operating characteristic (ROC) curves. Independent verification was conducted in the validation group.Results: For this study, a cohort of 232 patients was enlisted and subsequently divided into training group (N=162) and validation group (N=70). An evident correlation was detected between NPS and preoperative malnutrition. Patients with higher NPS exhibited a worse overall survival (OS), with 5-year OS rates of 79.1%, 33.1%, and 10.6%. Multivariate a
- Published
- 2024