Prognostic and Clinical Significance of Aspartate Aminotransferase-to-Lymphocyte Ratio Index in Individuals with Liver Cancer: A Meta-Analysis

• Published in: Disease markers Vol. 2022; pp. 3533714 - 9
• Main Authors: Peng, Xiulan, Huang, Yali, Zhang, Min, Chen, Yan, Zhang, Lihua, He, Anbing, Luo, Renfeng
• Format: Journal Article
• Language: English
• Published: United States Hindawi 2022; Hindawi Limited
• Subjects: Aspartate aminotransferase; Aspartate Aminotransferases - blood; Biomarkers; Carcinoma, Hepatocellular - blood; Carcinoma, Hepatocellular - mortality; Carcinoma, Hepatocellular - pathology; Cirrhosis; Clinical significance; Confidence intervals; Hepatitis; Hepatocellular carcinoma; Humans; Liver cancer; Liver cirrhosis; Liver diseases; Liver Neoplasms - blood; Liver Neoplasms - mortality; Liver Neoplasms - pathology; Lymphocyte Count; Lymphocytes; Medical prognosis; Meta-analysis; Metastases; Patients; Portal vein; Prognosis; Retrospective Studies; Review; Risk analysis; Risk factors; Survival; Survival analysis; Survival Rate; Thrombosis; Transaminases; Tumors; United States > US; China
• ISSN: 0278-0240; 1875-8630
• DOI: 10.1155/2022/3533714

Objective. This study was aimed at exploring the prognostic and clinicopathological roles of aspartate aminotransferase-to-lymphocyte ratio index (ALRI) in patients with hepatocellular carcinoma via a meta-analysis. Methods. The PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Wanfang, and VIP databases were comprehensively searched from inception to November 20, 2021. Pooled hazard ratio (HR) and corresponding 95% confidence interval (CI) were used to evaluate the relationship between ALRI and overall survival (OS) as well as progression-free survival (PFS) in patients with hepatocellular carcinoma. Odds ratio (OR) and the corresponding 95% CI were also used to investigate correlations between clinical factors and ALRI in patients with hepatocellular carcinoma. Results. A total of 3914 patients with hepatocellular carcinoma from eleven retrospective cohorts were included in this meta-analysis. The combined results revealed that patients with hepatocellular carcinoma with elevated ALRI tended to have unfavorable OS (HR 1.53 [95% CI 1.25–1.82]; P<0.001). Pooled HRs revealed that high ALRI was an independent risk factor for inferior PFS in patients with hepatocellular carcinoma (HR 1.36 [95% CI 1.10–1.63]; P<0.001). In addition, high ALRI was strongly associated with male sex (OR 1.32 [95% CI 1.02–1.70]; P=0.035), presence of cirrhosis (OR 1.68 [95% CI 1.01–2.81]; P=0.046), larger tumor size (OR 2.25 [95% CI 1.31–3.88]; P<0.001), presence of portal vein tumor thrombus (OR 2.50 [95% CI 1.52–4.11]; P<0.001), and distant metastasis (OR 1.72 [95% CI 1.05-2.82]; P=0.031). Conclusion. Elevated ALRI in patients with hepatocellular carcinoma predicted inferior survival outcomes and was strongly associated with some important features of hepatocellular carcinoma.