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The value of C-reactive protein as an independent prognostic indicator for disease-specific survival in patients with soft tissue sarcoma: A meta-analysis

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  • Xiaolin Wang
  • Song Liu
  • Xiaoli Zhao
  • Erhu Fang
  • Xiang Zhao

Abstract

Backgrounds: Serum C-reactive protein (CRP) level has been shown to be a predictor of survival for multiple cancer types. The aim of this study was to evaluate whether pretreatment serum CRP level could serve as a reliable independent prognostic indicator for survival in patients with soft tissue sarcoma (STS). Methods: A detailed literature search was conducted in Medline, Embase and Cochrane for relevant research publications written in English. Patients’ clinical characteristics, outcomes of disease-specific survival (DSS) and disease/recurrence free survival (DFS/RFS) were extracted. Only the results of multivariate survival analysis were recruited in our analysis. Pooled hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) were calculated to evaluate the prognostic role of CRP. This study was registered on PROPERO and the registration number is CRD42018104802. Results: Nine articles containing 1655 patients were identified as eligible studies. The random effects model showed that elevated CRP level was significantly correlated with poor DSS (HR = 2.08; 95% CI: 1.33–3.24; p

Suggested Citation

  • Xiaolin Wang & Song Liu & Xiaoli Zhao & Erhu Fang & Xiang Zhao, 2019. "The value of C-reactive protein as an independent prognostic indicator for disease-specific survival in patients with soft tissue sarcoma: A meta-analysis," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-20, July.
    • Handle: RePEc:plo:pone00:0219215
    DOI: 10.1371/journal.pone.0219215
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    References listed on IDEAS

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    1. Lisa M. Coussens & Zena Werb, 2002. "Inflammation and cancer," Nature, Nature, vol. 420(6917), pages 860-867, December.
    2. Tomoki Nakamura & Akihiko Matsumine & Takao Matsubara & Kunihiro Asanuma & Yuki Yada & Tomohito Hagi & Akihiro Sudo, 2017. "Infiltrative tumor growth patterns on magnetic resonance imaging associated with systemic inflammation and oncological outcome in patients with high-grade soft-tissue sarcoma," PLOS ONE, Public Library of Science, vol. 12(7), pages 1-11, July.
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