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ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

A prognostic nomogram for patients with III-IV nasopharyngeal carcinoma based on dynamic changes in the inflammatory and nutrition index.

Guangyi Cheng, Shiwang Yuan, Jiang Wang, Sijia Deng, Yang Wu, Yuyan Wang, Yu Shen, Liantao Li

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Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Guangyi Cheng *The First School of Clinical Medicine, Xuzhou Medical University, 9 Kunpeng Road, Xuzhou, Jiangsu, People's Republic of China.
Shiwang Yuan *Affiliated Wuxi People's Hospital of Nanjing Medical University, Wuxi, China.
Jiang Wang *The First School of Clinical Medicine, Xuzhou Medical University, 9 Kunpeng Road, Xuzhou, Jiangsu, People's Republic of China.
Sijia DengThe First School of Clinical Medicine, Xuzhou Medical University, 9 Kunpeng Road, Xuzhou, Jiangsu, People's Republic of China.
Yang WuCenter of Clinical Oncology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China.
Yuyan WangThe First School of Clinical Medicine, Xuzhou Medical University, 9 Kunpeng Road, Xuzhou, Jiangsu, People's Republic of China.
Yu ShenThe First School of Clinical Medicine, Xuzhou Medical University, 9 Kunpeng Road, Xuzhou, Jiangsu, People's Republic of China.
Liantao LiThe First School of Clinical Medicine, Xuzhou Medical University, 9 Kunpeng Road, Xuzhou, Jiangsu, People's Republic of China. liliantao@xzhmu.edu.cn.ORCID http://orcid.org/0000-0002-8788-2880

Funding

China Postdoctoral Science Foundation 2022M722680High-level Hospital Construction Project of Jiangsu Provincial LCZX202402Jiangsu provincial Science and Technology Program BK20231169
6 · The paper itself

Abstract

backgroundThe purpose of the study was to explore the value of dynamic changes in inflammatory and nutritional index after comprehensive treatment in patients with stage III-IVA nasopharyngeal carcinoma (NPC). A prognostic model was also established and validated for progression-free survival (PFS) of patients.

methodsWe retrospectively selected 279 NPC patients with stage III-IVA. Their general clinical data and hematological index were collected and then calculated the changes during treatment. X-tile software was used to determine the optimal cut-off value. COX regression, Lasso method, and Boruta method were used to variable selection and model establishment. Using the bootstrap internal validation method, concordance index (C-index), calibration plot, and Kaplan-Meier curves were used to evaluate the model. To test the prognostic value of the model, we have also evaluated the performance of the nomogram against a conventional tumor metastasis staging system (TNM).

resultsMultivariable COX regression analysis demonstrated that clinical staging, delta lymphocyte, delta monocyte, delta albumin, delta platelet-to-lymphocyte ratio and delta systemic immune inflammation index were related to the PFS of NPC patients. The C-index of the model was 0.712, and the calibration curve indicated that the model had good consistency. The C-index of the TNM staging system was 0.597, which was considerably lower compared to our model (P = 0.015).

conclusionWe demonstrated the predictive value of dynamic changes in inflammatory and nutritional indices for the prognosis of NPC by successfully establishing and validating a prognostic model for predicting 1- and 3-year PFS after comprehensive treatment in patients with stage III-IVA NPC.

Indexed as

InflammationNasopharyngeal CarcinomaNasopharyngeal NeoplasmsNomogramsNutritional StatusNutrition AssessmentAdultAgedFemaleHumansMaleMiddle AgedNeoplasm StagingPrognosisProgression-Free SurvivalRetrospective StudiesDynamic changesIII-IVA Nasopharyngeal carcinomaInflammatory and nutritional indexPrognosisRelapse and metastasis

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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.