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Prognostic value of the postoperative neutrophil-lymphocyte ratio in solid tumors: A meta-analysis

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  • Meilong Wu
  • Shizhong Yang
  • Xiaobin Feng
  • Chengquan Li
  • Fei Yu
  • Jiahong Dong

Abstract

Purpose: Numerous studies have demonstrated that a variety of systemic inflammatory markers were associated with the survival of different tumors. However, the association between elevated postoperative neutrophil-lymphocyte ratio (postNLR) and long-term outcomes, including overall survival (OS), disease-free survival (DFS), in patients with solid tumors remains controversial. A systematic review was conducted to explore the association between the postNLR and long-term outcomes in solid tumors. Materials and methods: Relevant literature was identified using PubMed, Embase, Web of Science, and the Cochrane Library from the initiation of the databases to October 2020. Data were extracted from included studies reporting hazard ratio (HR) and 95% confidence intervals (CI), and were pooled using generic inverse-variance and random-effects modeling. 25 studies reporting on7539 patients were included in the analysis. Results: Elevated postNLR was associated with poor OS (HR 1.87, 95% CI = 1.53–2.28; P

Suggested Citation

  • Meilong Wu & Shizhong Yang & Xiaobin Feng & Chengquan Li & Fei Yu & Jiahong Dong, 2021. "Prognostic value of the postoperative neutrophil-lymphocyte ratio in solid tumors: A meta-analysis," PLOS ONE, Public Library of Science, vol. 16(4), pages 1-13, April.
  • Handle: RePEc:plo:pone00:0250091
    DOI: 10.1371/journal.pone.0250091
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