Combining systemic inflammatory response index and albumin fibrinogen ratio to predict early serious complications and prognosis after resectable gastric cancer

doi:10.4251/wjgo.v16.i3.732

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World Journal of Gastrointestinal Oncology

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1948-5204

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Cohort Study

World J Gastrointest Oncol. Mar 15, 2024; 16(3): 732-749
Published online Mar 15, 2024. doi: 10.4251/wjgo.v16.i3.732

Table 5 Univariate and multivariate Cox regression analysis for overall survival in gastric cancer patients

Variables		Univariate analysis			Multivariate analysis
Variables		HR	95%CI	P value	HR	95%CI	P value
Age in yr		1.024	1.005-1.043	0.013^a	1.000	0.981-1.020	0.964
Tumor dimensions in cm
	< 3/≥ 3	3.143	1.932-5.112	< 0.001^a	1.335	0.778-2.290	0.294
Differentiation
	Moderate and poor/well	0.144	0.020-1.029	0.053	0.605	0.073-5.026	0.641
Her-2	Negative/positive	0.504	0.206-1.231	0.133	0.583	0.230-1.479	0.256
TNM stage				< 0.001^a			< 0.001^a
	I	Ref			Ref
	II	3.550	1.570-8.027	0.002^a	1.777	0.665-4.748	0.479
	III	7.097	3.290-15.306	< 0.001^a	5.464	1.948-15.327	0.001^a
Operation time in min		1.003	1.001-1.006	0.003^a	1.003	1.000-1.005	0.055
Perioperative transfusion	No/yes	2.564	1.811-3.629	< 0.001^a	1.517	1.011-2.277	0.044^a
CA199 in ng/mL	Negative/positive	1.990	1.347-2.940	0.001^a	1.184	0.776-1.807	0.433
CEA in ng/mL	Negative/positive	2.126	1.490-3.034	< 0.001^a	1.605	1.101-2.338	0.014^a
Lymph node metastasis rate, %		1.001	0.991-1.012	0.790	0.990	0.979-1.002	0.110
Postoperative complication	No or minor/major	3.498	2.434-5.029	< 0.001^a	1.450	0.956-2.200	0.080
Postoperative chemotherapy	No/yes	1.916	1.239-2.963	0.003^a	0.628	0.357-1.104	0.106
Lymphocytes as × 10⁹/L		0.490	0.347-0.692	< 0.001^a	0.840	0.553-1.1275	0.413
Neutrophils as × 10⁹/L		1.240	1.152-1.335	< 0.001^a	1.075	0.357-1.104	0.106
Monocyte as × 10⁹/L		7.393	2.685-20.351	< 0.001^a	0.762	0.188-3.086	0.703
Albumin in g/L		0.880	0.850-0.911	< 0.001^a	0.969	0.927-1.013	0.164
Fibrinogen in g/L		2.063	1.792-2.375	< 0.001^a	1.415	1.111-1.803	0.005^a
SIRI		1.190	1.117-1.267	< 0.001^a	1.036	0.764-1.404	0.820
AFR		0.727	0.681-0.776	< 0.001^a	1.059	0.858-1.308	0.592
SIRI-AFR score							< 0.001^a
	0	Ref			Ref
	1	6.034	2.964-12.285	< 0.001^a	3.134	1.445-6.797	0.004^a
	2	20.555	10.287-41.071	< 0.001^a	5.239	2.122-12.935	< 0.001^a

^aP < 0.05.

AFR: Albumin fibrinogen ratio; CA199: Carbohydrate antigen 199; CEA: Carcinoembryonic antigen; CI: Confidence interval; OR: Odds ratio; SIRI: Systemic inflammation response index; TNM: Tumor-node-metastasis.

Citation: Ren JY, Wang D, Zhu LH, Liu S, Yu M, Cai H. Combining systemic inflammatory response index and albumin fibrinogen ratio to predict early serious complications and prognosis after resectable gastric cancer. World J Gastrointest Oncol 2024; 16(3): 732-749
URL: https://www.wjgnet.com/1948-5204/full/v16/i3/732.htm
DOI: https://dx.doi.org/10.4251/wjgo.v16.i3.732