Evidence map›Paper›PMID 33883935›Full record

ArticleCancer management and research2021

Preoperative Fibrinogen-Albumin Ratio, Potential Prognostic Factors for Bladder Cancer Patients Undergoing Radical Cystectomy: A Two-Center Study.

Jiangang Chen, Lin Hao, Shaoqi Zhang, Yong Zhang, Bingzheng Dong, Qianjin Zhang, Conghui Han

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Article in Cancer management and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

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11citing papers in PubMed, 4 pooled it
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3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Jiangang ChenMedical College of Soochow University, Suzhou, Jiangsu Province, 215123, People's Republic of China.ORCID 0000-0002-0464-3359
Lin HaoMedical College of Soochow University, Suzhou, Jiangsu Province, 215123, People's Republic of China.
Shaoqi ZhangMedical College of Soochow University, Suzhou, Jiangsu Province, 215123, People's Republic of China.ORCID 0000-0002-5370-0487
Yong ZhangDepartment of Urology, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu Province, 226001, People's Republic of China.
Bingzheng DongMedical College of Soochow University, Suzhou, Jiangsu Province, 215123, People's Republic of China.
Qianjin ZhangMedical College of Soochow University, Suzhou, Jiangsu Province, 215123, People's Republic of China.
Conghui HanMedical College of Soochow University, Suzhou, Jiangsu Province, 215123, People's Republic of China.ORCID 0000-0001-8694-1247

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe conducted a two-center study to investigate the prognostic value of preoperative fibrinogen-albumin ratio (FAR) in patients undergoing radical cystectomy (RC).

methodsThe clinical and survival data of 267 patients with bladder cancer (BCa) treated with RC were collected, of which 140 patients from Xuzhou Central Hospital were divided into training set and 127 patients from The Second Affiliated Hospital of Nantong University were divided into validation set. X-tile software was used to obtain the optimal cut-off values for preoperative platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR) and FAR. Receiver operating characteristic (ROC) curves were used to compare the predictive ability of PLR, NLR, FAR and modified Glasgow prognostic score (mGPS). Kaplan-Meier curves were used to assess overall survival (OS) and progression-free survival (PFS) of patients in different FAR groups. Univariate and multivariate Cox regression were used to assess patients' independent risk factors, and R software was used to construct prognostic nomograms.

resultsIn the training set, the optimal cut-off values for PLR, NLR and FAR were 76.76, 3.97 and 0.08, respectively. Both in the training and validation sets, FAR had better ability to predict OS and PFS than PLR and NLR, and patients in the higher FAR group had worse OS and PFS. In the multivariate Cox regression analysis, FAR was an independent risk factor for OS [hazard ratio (HR) 3.569, 95% confidence interval (CI): 1.015-12.546, P=0.047] and PFS [HR 5.071, 95% CI: 1.394-18.451, P=0.014]. In addition, FAR-based prognostic nomograms had high predictive ability than TNM staging.

conclusionPreoperative FAR is an independent prognostic factor for OS and PFS in BCa patients treated with RC, and a high FAR predicted a poor prognosis. In addition, a prognostic nomogram based on FAR can better predict individual survival.

Indexed as

bladder cancerfibrinogen–albumin ratiooverall survivalprogression-free survivalradical cystectomy

Identifiers

PMID33883935
PMCPMC8055294

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.