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Evaluation of cumulative prognostic score based on pretreatment plasma fibrinogen and serum albumin levels in patients with newly diagnosed high-grade gliomas

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机构: [1]Sun Yat Sen Univ, Dept Neurosurg Neurooncol, State Key Lab Oncol South China, Collaborative Innovat Ctr Canc Med,Canc Ctr, Guangzhou 510060, Guangdong, Peoples R China; [2]Cent S Univ, Affiliated Canc Hosp, Dept Radiat Oncol,Hunan Canc Hosp, Key Lab Translat Radiat Oncol,Xiangya Sch Med,Hun, Changsha 410013, Hunan, Peoples R China
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关键词: high-grade gliomas fibrinogen albumin cumulative score prognosis

摘要:
This retrospective study was designed to determine the prognostic value of a cumulative score (FA score) based on pretreatment plasma fibrinogen and serum albumin levels for 326 patients newly diagnosed high-grade glioma (HGG). Receiver operating characteristic (ROC) curve analysis was performed to determine the optimal cut-off values. Univariate and multivariate analysis were performed to evaluate the independent prognostic value of the FA scores associated with overall survival (OS) and progression-free survival (PFS). The optimal cut-off values were 2.815 g/L for fibrinogen and 43.65 g/L for albumin. PFS and OS were significantly worse for patients with higher FA scores. Patients with elevated fibrinogen level and decreased albumin levels had 3.00-fold higher risk of tumor progression and had a 3.23-fold higher risk of death compared with those with normal values. Multivariate analysis demonstrated FA score was an independent predictive factor for PFS and OS. Moreover, PFS and OS were better for the patients with lower FA score, either in patients with grade III or IV gliomas. These findings indicated that the pretreatment FA score could serve as a simple and noninvasive marker to predict the prognosis of patients with HGG.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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第一作者机构: [1]Sun Yat Sen Univ, Dept Neurosurg Neurooncol, State Key Lab Oncol South China, Collaborative Innovat Ctr Canc Med,Canc Ctr, Guangzhou 510060, Guangdong, Peoples R China;
通讯作者:
通讯机构: [1]Sun Yat Sen Univ, Dept Neurosurg Neurooncol, State Key Lab Oncol South China, Collaborative Innovat Ctr Canc Med,Canc Ctr, Guangzhou 510060, Guangdong, Peoples R China;
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