Prognostic significance of the preoperative C-reactive protein-albumin-lymphocyte (CALLY) index on outcomes after gastrectomy for gastric cancer
Purpose Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index has been established as an immuno-nutritional scoring system. The aim of this study was to clarify the impact of the preoperative CALLY...
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| Published in | Surgery today (Tokyo, Japan) Vol. 54; no. 8; pp. 943 - 952 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Singapore
Springer Nature Singapore
01.08.2024
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| Online Access | Get full text |
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| Abstract | Purpose
Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index has been established as an immuno-nutritional scoring system. The aim of this study was to clarify the impact of the preoperative CALLY index on the outcome of patients undergoing gastrectomy for gastric cancer.
Methods
We analyzed the data of 826 patients who underwent gastrectomy for stage I, II, or III gastric cancer between 2010 and 2017. The CALLY index was defined as (albumin × lymphocyte)/(CRP × 10
4
).
Results
The cut-off of the CALLY index was 2. The 147 patients with a preoperative CALLY index < 2 had significantly worse overall survival (OS) and relapse-free survival (RFS) than those with a CALLY index ≥ 2 (P < 0.01, P < 0.01, respectively). Multivariate analysis identified that a CALLY index < 2 (P = 0.02), intraoperative blood loss (P < 0.01), and stage II or III disease (P < 0.01) were independent and significant predictors of worse RFS. A CALLY index < 2 (P = 0.01), intraoperative blood loss (P < 0.01), postoperative complications (P = 0.02), and stage II or III disease (P < 0.01) were independent and significant predictors of worse OS.
Conclusion
The preoperative CALLY index was independently associated with a poor prognosis for patients after gastrectomy for gastric cancer. |
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| AbstractList | Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index has been established as an immuno-nutritional scoring system. The aim of this study was to clarify the impact of the preoperative CALLY index on the outcome of patients undergoing gastrectomy for gastric cancer.
We analyzed the data of 826 patients who underwent gastrectomy for stage I, II, or III gastric cancer between 2010 and 2017. The CALLY index was defined as (albumin × lymphocyte)/(CRP × 10
).
The cut-off of the CALLY index was 2. The 147 patients with a preoperative CALLY index < 2 had significantly worse overall survival (OS) and relapse-free survival (RFS) than those with a CALLY index ≥ 2 (P < 0.01, P < 0.01, respectively). Multivariate analysis identified that a CALLY index < 2 (P = 0.02), intraoperative blood loss (P < 0.01), and stage II or III disease (P < 0.01) were independent and significant predictors of worse RFS. A CALLY index < 2 (P = 0.01), intraoperative blood loss (P < 0.01), postoperative complications (P = 0.02), and stage II or III disease (P < 0.01) were independent and significant predictors of worse OS.
The preoperative CALLY index was independently associated with a poor prognosis for patients after gastrectomy for gastric cancer. Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index has been established as an immuno-nutritional scoring system. The aim of this study was to clarify the impact of the preoperative CALLY index on the outcome of patients undergoing gastrectomy for gastric cancer.PURPOSESystemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index has been established as an immuno-nutritional scoring system. The aim of this study was to clarify the impact of the preoperative CALLY index on the outcome of patients undergoing gastrectomy for gastric cancer.We analyzed the data of 826 patients who underwent gastrectomy for stage I, II, or III gastric cancer between 2010 and 2017. The CALLY index was defined as (albumin × lymphocyte)/(CRP × 104).METHODSWe analyzed the data of 826 patients who underwent gastrectomy for stage I, II, or III gastric cancer between 2010 and 2017. The CALLY index was defined as (albumin × lymphocyte)/(CRP × 104).The cut-off of the CALLY index was 2. The 147 patients with a preoperative CALLY index < 2 had significantly worse overall survival (OS) and relapse-free survival (RFS) than those with a CALLY index ≥ 2 (P < 0.01, P < 0.01, respectively). Multivariate analysis identified that a CALLY index < 2 (P = 0.02), intraoperative blood loss (P < 0.01), and stage II or III disease (P < 0.01) were independent and significant predictors of worse RFS. A CALLY index < 2 (P = 0.01), intraoperative blood loss (P < 0.01), postoperative complications (P = 0.02), and stage II or III disease (P < 0.01) were independent and significant predictors of worse OS.RESULTSThe cut-off of the CALLY index was 2. The 147 patients with a preoperative CALLY index < 2 had significantly worse overall survival (OS) and relapse-free survival (RFS) than those with a CALLY index ≥ 2 (P < 0.01, P < 0.01, respectively). Multivariate analysis identified that a CALLY index < 2 (P = 0.02), intraoperative blood loss (P < 0.01), and stage II or III disease (P < 0.01) were independent and significant predictors of worse RFS. A CALLY index < 2 (P = 0.01), intraoperative blood loss (P < 0.01), postoperative complications (P = 0.02), and stage II or III disease (P < 0.01) were independent and significant predictors of worse OS.The preoperative CALLY index was independently associated with a poor prognosis for patients after gastrectomy for gastric cancer.CONCLUSIONThe preoperative CALLY index was independently associated with a poor prognosis for patients after gastrectomy for gastric cancer. Purpose Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index has been established as an immuno-nutritional scoring system. The aim of this study was to clarify the impact of the preoperative CALLY index on the outcome of patients undergoing gastrectomy for gastric cancer. Methods We analyzed the data of 826 patients who underwent gastrectomy for stage I, II, or III gastric cancer between 2010 and 2017. The CALLY index was defined as (albumin × lymphocyte)/(CRP × 10 4 ). Results The cut-off of the CALLY index was 2. The 147 patients with a preoperative CALLY index < 2 had significantly worse overall survival (OS) and relapse-free survival (RFS) than those with a CALLY index ≥ 2 (P < 0.01, P < 0.01, respectively). Multivariate analysis identified that a CALLY index < 2 (P = 0.02), intraoperative blood loss (P < 0.01), and stage II or III disease (P < 0.01) were independent and significant predictors of worse RFS. A CALLY index < 2 (P = 0.01), intraoperative blood loss (P < 0.01), postoperative complications (P = 0.02), and stage II or III disease (P < 0.01) were independent and significant predictors of worse OS. Conclusion The preoperative CALLY index was independently associated with a poor prognosis for patients after gastrectomy for gastric cancer. |
| Author | Masuda, Takahiro Yuda, Masami Tsuboi, Kazuto Yano, Fumiaki Eto, Ken Ikegami, Toru Fujisaki, Muneharu Fukushima, Naoko Takahashi, Keita |
| Author_xml | – sequence: 1 givenname: Naoko surname: Fukushima fullname: Fukushima, Naoko email: naoko9037@gmail.com organization: Department of Surgery, The Jikei University School of Medicine, Department of Surgery, Fuji City General Hospital – sequence: 2 givenname: Takahiro surname: Masuda fullname: Masuda, Takahiro organization: Department of Surgery, The Jikei University School of Medicine – sequence: 3 givenname: Kazuto surname: Tsuboi fullname: Tsuboi, Kazuto organization: Department of Surgery, The Jikei University School of Medicine, Department of Surgery, Fuji City General Hospital – sequence: 4 givenname: Keita surname: Takahashi fullname: Takahashi, Keita organization: Department of Surgery, The Jikei University School of Medicine – sequence: 5 givenname: Masami surname: Yuda fullname: Yuda, Masami organization: Department of Surgery, The Jikei University School of Medicine – sequence: 6 givenname: Muneharu surname: Fujisaki fullname: Fujisaki, Muneharu organization: Department of Surgery, The Jikei University School of Medicine – sequence: 7 givenname: Toru surname: Ikegami fullname: Ikegami, Toru organization: Department of Surgery, The Jikei University School of Medicine – sequence: 8 givenname: Fumiaki surname: Yano fullname: Yano, Fumiaki organization: Department of Surgery, The Jikei University School of Medicine – sequence: 9 givenname: Ken surname: Eto fullname: Eto, Ken organization: Department of Surgery, The Jikei University School of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38491233$$D View this record in MEDLINE/PubMed |
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| Keywords | C-reactive protein-albumin-lymphocyte index Systemic inflammatory response Gastrectomy Gastric cancer |
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Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY)... Systemic inflammatory response markers are reported to be prognostic for patients with cancer. The C-reactive protein (CRP)-albumin-lymphocyte (CALLY) index... |
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| SubjectTerms | Aged Biomarkers - blood Blood Loss, Surgical - statistics & numerical data C-Reactive Protein - analysis Female Gastrectomy - methods Humans Lymphocytes Male Medicine Medicine & Public Health Middle Aged Neoplasm Staging Original Article Postoperative Complications - epidemiology Postoperative Complications - etiology Preoperative Period Prognosis Serum Albumin - analysis Stomach Neoplasms - mortality Stomach Neoplasms - pathology Stomach Neoplasms - surgery Surgery Surgical Oncology Survival Rate Treatment Outcome |
| Title | Prognostic significance of the preoperative C-reactive protein-albumin-lymphocyte (CALLY) index on outcomes after gastrectomy for gastric cancer |
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