Evidence map›Paper›PMID 41674978›Full record

ArticleTranslational cancer research2026

Preoperative peripheral blood lymphocyte subsets integrated with geriatric nutritional risk index for prognostic assessment in elderly colorectal carcinoma patients.

Yuxin Wang, Yizhe Hao, Houjun Jia

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Article in Translational cancer research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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3 authors.

Yuxin WangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Yizhe HaoDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Houjun JiaDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prognosis in elderly colorectal cancer (CRC) patients is generally poor, predominantly attributable to the interrelated phenomena of immunosenescence and malnutrition. Current prognostic assessment tools typically evaluate nutritional and immune status in isolation, potentially overlooking the synergistic effects of these interconnected factors on patient outcomes. Therefore, this investigation aims to establish a comprehensive immuno-nutritional biomarker, integrating lymphocyte subset profiles and the Geriatric Nutritional Risk Index (GNRI), to prognosticate postoperative outcomes in elderly CRC patients. Methods: A retrospective cohort of 201 elderly CRC patients undergoing curative resection at our institution between October 2018 and July 2020 was analyzed. Immunological and nutritional parameters were selected via least absolute shrinkage and selection operator (LASSO) regression to formulate a novel composite biomarker, designated as lymphocyte subsets-GNRI (LS-GNRI). Survival analyses employing Kaplan-Meier estimators and Cox proportional hazards models assessed the correlation of LS-GNRI with overall survival (OS) and disease-free survival (DFS). A prognostic nomogram integrating LS-GNRI and variables identified through multivariate Cox regression was constructed, with predictive accuracy and practicality evaluated via area under the curve (AUC), calibration plots (CAL), decision curve analysis (DCA), and clinical impact curves (CIC). Results: Results indicated that the LS-GNRI biomarker demonstrated independent prognostic significance for elderly CRC patients [hazard ratio (HR): 0.323, 95% confidence interval (CI): 0.217-0.480, P<0.001]. Patients with elevated LS-GNRI exhibited significantly improved OS and DFS, with AUCs for 1-, 3-, and 5-year survival predictions of 0.763, 0.82, and 0.753, respectively. The nomogram incorporating LS-GNRI, age, carcinoembryonic antigen (CEA), tumor staging, Conclusions: In conclusion, LS-GNRI constitutes a robust composite biomarker for postoperative prognostication in elderly CRC patients. Furthermore, a prognostic nomogram incorporating LS-GNRI, patient age, CEA levels, tumor staging,

Indexed as

colorectal cancer (CRC)elderly patientsGeriatric Nutritional Risk Index (GNRI)Peripheral blood lymphocyte subsetsprognosis

Identifiers

PMID41674978
PMCPMC12885899

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