4.3 Article

Prognostic nutritional index as a prognostic biomarker for survival in digestive system carcinomas

Journal

ONCOTARGET
Volume 7, Issue 52, Pages 86573-86583

Publisher

IMPACT JOURNALS LLC
DOI: 10.18632/oncotarget.13472

Keywords

prognostic nutritional index; digestive system carcinomas; prognosis; meta-analysis

Funding

  1. National Natural Science Foundation, China [81471670, 81301847]
  2. China Postdoctoral Science Foundation [2015T81037]
  3. Science and Technology Plan of Innovation Project, Shaanxi province, China [2015KTCL03-06]
  4. Fundamental Research Funds for the Central Universities, China [2014qngz-04]

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The prognostic nutritional index (PNI) has been reported to correlate with the prognosis in patients with various malignancies. We performed a meta-analysis to determine the predictive potential of PNI in digestive system cancers. Twenty-three studies with a total of 7,384 patients suffering from digestive system carcinomas were involved in this meta-analysis. A lower PNI was significantly associated with the shorter overall survival (OS) [Hazard Ratio (HR) 1.83, 95% Confidence Interval (CI) 1.62-2.07], the poorer disease-free survival (DFS) (HR 1.85, 95% CI 1.19-2.89), and the higher rate of post-operative complications (HR 2.31, 95% CI 1.63-3.28). In conclusion, PNI was allowed to function as an efficient indicator for the prognosis of patients with digestive system carcinomas.

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