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ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026

Prognostic value of systemic inflammatory markers in head and neck squamous cell carcinoma.

Zoi Zachou, Konstantinos Katsas, Dimitrios Dimitroulis, Ioannis Seggas, Efthymios Kyrodimos

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing 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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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zoi ZachouMedical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, Athens, 11527, Greece. zoizachou@gmail.com.ORCID http://orcid.org/0000-0002-4887-3594
Konstantinos KatsasDepartment of Nutrition and Dietetics, Attikon University General Hospital, Athens, 12462, Greece.
Dimitrios DimitroulisNational and Kapodistrian University of Athens, Vas. Sofias 114, Athens, 11527, Greece.
Ioannis SeggasNational and Kapodistrian University of Athens, Vas. Sofias 114, Athens, 11527, Greece.
Efthymios KyrodimosNational and Kapodistrian University of Athens, Vas. Sofias 114, Athens, 11527, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to estimate the prognostic value of the inflammatory indexes (NLR, PLR, LMR, SII, and SIM) in the prognosis of patients with HNSCC.

methodsWe retrospectively studied 396 patients with HNSCC diagnosed and managed over the last decade in the First Otolaryngology department of Hippokrateion hospital. The inflammatory marker counts were obtained from the pre-operative blood tests, and the survival data were recorded through the patients' follow-up. The Kaplan-Meier method, the Cox proportional hazards model, and the receiver operating characteristics (ROC) curve were used to determine the prognostic values of the inflammatory markers and other factors.

resultsFactors found to be significantly associated with both DFS and OS were higher body mass index (BMI), tumor location, cancer stage (patients with advanced cancer stage reported lower DFS and OS), primary treatment, ECOGI PS scale and Charlson Index. Inflammatory marker PLR was found to be a significant predictor in both DFS (HR = 1.329; 95% CI = 1.041, 1.697) and OS (HR = 1.398; 95% CI = 1.073, 1.823), indicating that patients with higher PLR (cut off equal to 155) have a higher hazard of death. The same findings were present for SII regarding DFS (HR = 1.280; 95%CI = 1.013, 1.618), whereas the HR regarding OS was borderline but non-significant (HR = 1.168; 95%CI = 0.895, 1.525).

conclusionPlatelet-based inflammation markers were qualified as novel and independent prognostic factors, and they could be useful biomarkers for predicting survival outcomes in patients with HNSCC.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansInflammationKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingPrognosisProportional Hazards ModelsRetrospective StudiesBiomarkers, Tumor

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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.