Systematic review and metanalysis of neutrophil to lymphocyte ratio and prognosis in patients with nasopharyngeal carcinoma

Bibliographic Details
Title: Systematic review and metanalysis of neutrophil to lymphocyte ratio and prognosis in patients with nasopharyngeal carcinoma
Authors: Wanying Zhao, Xiaofeng Li, Li Lv, Xiance Sun, Juan Xue, Ping Yang, Jinhai Tang, Xiupeng Lv
Source: Laryngoscope Investigative Otolaryngology, Vol 8, Iss 6, Pp 1522-1531 (2023)
Publisher Information: Wiley, 2023.
Publication Year: 2023
Collection: LCC:Otorhinolaryngology
LCC:Surgery
Subject Terms: meta‐analysis, nasopharyngeal carcinoma, neutrophil‐to‐lymphocyte ratio, overall survival, prognosis, Otorhinolaryngology, RF1-547, Surgery, RD1-811
More Details: Abstract Background Hematological parameters have been associated with prognosis in patients with nasopharyngeal carcinoma (NPC). The present meta‐analysis investigated the utility of neutrophil‐lymphocyte ratio (NLR) in the prognosis of patients with NPC. Methods Multiple electronic databases, including PubMed, Embase, the Cochrane Library, and the Web of Science, were systematically searched for studies assessing the association between NLR and NPC from 2011 to 2021. The primary outcomes were overall survival (OS) and progression‐free survival (PFS). Pooled hazard ratios (HRs) and 95% confidence intervals (CIs) were utilized to estimate effect size. Use of a fixed effect or random effect model was based on heterogeneity stability was tested by sensitivity analysis, and the risk of bias was assessed by funnel plots. Random effects models were used based on the actual results. Because the NLR grouping criteria for the included studies differed, subgroup analyses were performed. Results A search of the electronic databases identified 14 studies, encompassing 6693 patients, that met the selection criteria. NLR higher than the cutoff value was significantly associated with poorer OS [HR 1.760, 95% CI 1.470–2.120, p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2378-8038
Relation: https://doaj.org/toc/2378-8038
DOI: 10.1002/lio2.1161
Access URL: https://doaj.org/article/f7d4b0bc772e4f6882000c24f3af2936
Accession Number: edsdoj.f7d4b0bc772e4f6882000c24f3af2936
Database: Directory of Open Access Journals
More Details
ISSN:23788038
DOI:10.1002/lio2.1161
Published in:Laryngoscope Investigative Otolaryngology
Language:English