Preoperative systemic inflammatory response index as a prognostic marker for distal cholangiocarcinoma after pancreatoduodenectomy

doi:10.4240/wjgs.v16.i9.2910

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World Journal of Gastrointestinal Surgery

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1948-9366

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

Retrospective Study

World J Gastrointest Surg. Sep 27, 2024; 16(9): 2910-2924
Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2910

Table 3 Cox regression analysis of the effects of clinicopathological factors on the overall survival of patients

Variables	Univariate analysis		Multivariate analysis
Variables	HR (95%CI)	P value	HR (95%CI)	P value
Age (year)	1.022 (1.003-1.042)	0.025^a	1.008 (0.987-1.029)	0.471
Cardiocerebrovascular disease	1.424 (1.020-1.986)	0.038^a	1.428 (0.989-2.063)	0.058
Preoperative biliary drainage	1.166 (0.974-1.396)	0.094	0.746 (0.401-1.389)	0.355
Platelet (10⁹/L)	1.002 (1.000-1.004)	0.101	1.001 (0.996-1.007)	0.661
WBC (10⁹/L)	1.044 (0.975-1.118)	0.219
Neutrophil (10⁹/L)	1.089 (1.011-1.174)	0.025^a	1.110 (0.900-1.369)	0.330
Monocyte (10⁹/L)	2.000 (1.048-3.818)	0.036^a	0.078 (0.003-1.761)	0.109
Lymphocyte (10⁹/L)	0.624 (0.469-0.830)	0.001^a	0.598 (0.287-1.245)	0.169
Hemoglobin (g/L)	0.990 (0.981-0.999)	0.022^a	1.001 (0.989-1.013)	0.895
Albumin (g/dL)	1.560 (1.104-2.204)	0.012^a	0.983 (0.948-1.019)	0.345
TB (μmol/L)	1.002 (1.001-1.004)	0.003^a	1.002 (1.000-1.004)	0.030^a
CA19-9 (U/mL) (> 235.8)	1.000 (1.000-1.000)	0.000^a	1.000 (0.999-1.000)	0.000^a
PLR (> 143)	1.003 (1.002-1.005)	0.000^a	1.000 (0.995-1.005)	0.898
NLR (> 3.1)	1.093 (1.042-1.146)	0.000^a	0.702 (0.525-0.939)	0.017
LMR (> 3.2)	0.807 (0.726-0.898)	0.000^a	0.934 (0.712-1.225)	0.621
NMR (> 11.2)	0.992 (0.969-1.015)	0.490
ABR (> 0.3)	0.937 (1.091-2.054)	0.403
SII (> 682)	1.000 (1.000-1.001)	0.000^a	1.000 (0.999-1.001)	0.644
SIRI (> 1.5)	1.167 (1.092-1.247)	0.000^a	1.868 (1.194-2.920)	0.006^a
ICPI (> 445.4)	1.001 (1.001-1.002)	0.000^a	3.108 (1.710-5.651)	0.305
APRI (> 0.3)	1.016 (0.877-1.177)	0.831
Tumor size (cm) (> 1.8)	1.292 (1.116-1.497)	0.001^a	1.343 (1.130-1.596)	0.001^a
Venous invasion type	1.371 (0.430-4.368)	0.594

^aP < 0.05.

PLR: Platelet-to-lymphocyte ratio; NLR: Neutrophil to lymphocyte ratio; LMR: Lymphocyte to monocyte ratio; NMR: Neutrophil-to-monocyte ratio; APRI: Aspartate transaminase-to-platelet; ABR: Albumin to bilirubin ratio; ICPI: Inflammation-combined prognostic index; SII: Systemic immune-inflammation index; SIRI: Systemic inflammatory response index; HR: Hazard ratio; CI: Confidence interval; WBC: White blood count; TB: Total bilirubin; CA19-9: Carbohydrate antigen 19-9.

Citation: Zhang WH, Zhao Y, Zhang CR, Huang JC, Lyu SC, Lang R. Preoperative systemic inflammatory response index as a prognostic marker for distal cholangiocarcinoma after pancreatoduodenectomy. World J Gastrointest Surg 2024; 16(9): 2910-2924
URL: https://www.wjgnet.com/1948-9366/full/v16/i9/2910.htm
DOI: https://dx.doi.org/10.4240/wjgs.v16.i9.2910