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Prognostic role of serum C-reactive protein in esophageal cancer: a systematic review and meta-analysis

Journal

THERAPEUTICS AND CLINICAL RISK MANAGEMENT
Volume 11, Issue -, Pages 89-94

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/TCRM.S70954

Keywords

CRP; esophageal cancer; meta-analysis

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Background: Recent studies have shown that C-reactive protein (CRP) is a useful predictive factor in several cancers; however, its role in esophageal cancer (EC) is controversial. Methods: A systematic literature search was performed using Medline, PubMed, and Web of Science to analyze the prognostic value of serum CRP in patients with EC. A meta-analysis was performed to assess the association between serum CRP and overall survival (OS) in patients with EC. Results: A total of eight studies involving 1,471 patients were included in our study. Our pooled results demonstrated that a high level of serum CRP was associated with poor OS (hazard ratio [HR]: 1.40, 95% confidence interval [CI]: 1.25-1.57, I-2=81.3%, P<0.0001). Subgroup analyses were performed in further investigations. When the patients were segregated according to treatment, pathological type, and cut-off level, high levels of serum CRP were found to be significantly correlated with OS. Conclusion: Our meta-analysis revealed that high levels of serum CRP were significantly associated with poor OS in patients with EC.

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