Evidence map›Paper›PMID 40719070›Full record

ArticleCancer medicine2025

The Prognostic Value of Nutritional and Immune Indices for Stage IB Non-Small Cell Lung Cancer Patients: Insights From a Retrospective Cohort Study.

Jianqi Hao, Song He, Cong Chen, Wenying Xu, Xiaohu Hao, Nanzhi Luo, Chenglin Guo, Qiang Pu, Lunxu Liu

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Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jianqi HaoDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Song HeDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Cong ChenDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wenying XuDepartment of Nursing, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China.
Xiaohu HaoDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Nanzhi LuoDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Chenglin GuoDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Qiang PuDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID https://orcid.org/0000-0001-7221-0259
Lunxu LiuDepartment of Thoracic Surgery and Institute of Thoracic Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID https://orcid.org/0000-0003-3964-5378

Funding

1.3.5 Project for Disciplines of Excellence, West China Hospital, Sichuan University ZYGD23010Natural Science Foundation of Sichuan Province of China 2025ZNSFSC1861
6 · The paper itself

Abstract

backgroundPostoperative recurrence is a critical factor affecting the prognosis of stage IB non-small cell lung cancer (NSCLC). We aimed to evaluate the prognostic value of Nutritional and Immune Indices (NII) for postoperative recurrence among IB NSCLC patients.

methodsClinical data of patients with pathological stage IB NSCLC who underwent surgical resection were collected. Cut-off values for NII were calculated using ROC curves, and patients were grouped accordingly. Univariable and multivariable logistic regression analyses were conducted to identify the association between NII and prognosis. A predictive model and corresponding nomogram were developed based on the identified risk factors. The model's performance was evaluated using the AUC and C-index. Additionally, interactions between NII and tumor marker indices were assessed, and recurrence-free survival (RFS) was analyzed using the Cox proportional hazards model.

resultsA total of 918 patients were included in this study. The results showed that patients with higher preoperative PNI or lower SII, PLR, and MLR had better RFS. For postoperative NII, patients with a higher postoperative PNI or lower PLR demonstrated better RFS. Preoperative PNI (HR = 0.920 [0.910, 0.940], p < 0.0001), postoperative MLR (HR = 1.428 [1.015, 2.010], p = 0.041) and △ (post-pre) PNI (HR = 1.018 [1.002, 1.034], p = 0.031) were identified as independent prognostic factors for postoperative recurrence in stage IB NSCLC. The nomogram model indicated that preoperative PNI was the optimal predictor for postoperative recurrence, achieving the highest C-index (0.658). Additionally, the interaction between preoperative PNI and NSE emerged as an independent prognostic factor for RFS in stage IB NSCLC patients, with a HR of 1.176 (95% CI: 1.159-1.200, p = 0.004).

conclusionsThis study underscores the value of an NII-based prognostic strategy, with preoperative PNI emerging as a particularly reliable indicator of postoperative recurrence risk in stage IB NSCLC patients.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsNutritional StatusAdultAgedBiomarkers, TumorFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingNomogramsPrognosisRetrospective StudiesRisk FactorsBiomarkers, Tumornutritional and immune indicespostoperative recurrencepredictive modelstage IB non‐small cell lung cancer

Identifiers

PMID40719070
PMCPMC12301860

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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.