Evidence map›Paper›PMID 42479199›Full record

ArticleJournal of cancer research and clinical oncology2026

The prognostic potential of an immunology score in patients treated with curative surgery for non-small cell lung cancer.

Sara Witting Christensen Wen, Signe Timm, Morten Borg, Ole Hilberg, Torben Frøstrup Hansen, Christa Haugaard Nyhus, Torben Schjødt Hansen, Line Nederby

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Article in Journal of cancer research and clinical oncology, 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Sara Witting Christensen WenDepartment of Biochemistry and Immunology, Lillebaelt Hospital Vejle, University Hospital of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark. sara.witting.christensen.wen@rsyd.dk.ORCID http://orcid.org/0000-0003-3755-0922
Signe TimmDepartment of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.ORCID http://orcid.org/0000-0002-5862-7784
Morten BorgDepartment of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.ORCID http://orcid.org/0000-0002-6204-2623
Ole HilbergDepartment of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.ORCID http://orcid.org/0000-0002-3075-3463
Torben Frøstrup HansenDepartment of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Campusvej 55, 5230, Odense, Denmark.ORCID http://orcid.org/0000-0001-7476-671X
Christa Haugaard NyhusDepartment of Oncology, Lillebaelt Hospital Vejle, University Hospital of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark.
Torben Schjødt HansenDepartment of Oncology, Lillebaelt Hospital Vejle, University Hospital of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark.
Line NederbyDepartment of Biochemistry and Immunology, Lillebaelt Hospital Vejle, University Hospital of Southern Denmark, Beriderbakken 4, 7100, Vejle, Denmark.ORCID http://orcid.org/0000-0002-0101-328X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCurative surgery is the best treatment for patients with early-stage non-small cell lung cancer (NSCLC), but around 40% experience recurrence impacting survival. Does the individual immunological status affect the prognosis? This study investigated four immunology markers in relation to recurrence and survival after curative surgery for NSCLC.

methodsNatural Killer cell activity (NKA), C-reactive protein (CRP), Interleukin 6 (IL6) and Transforming growth factor beta (TGFβ) were analysed before surgery and at three months after surgery for NSCLC.

resultsOf the 103 enrolled patients, 43 experienced recurrence over a period of median 71 months. The biomarkers were unsuitable for detecting recurrence with area under the receiver operating characteristics curve ranging from 0.52 to 0.58. Baseline CRP and TGFβ were significantly associated with overall survival (OS), and a score based on all four biomarkers demonstrated statistically significant prognostic impact on both recurrence free survival (RFS) and OS. The biomarker score was an independent prognostic factor when adjusting for stage and surgery type, hazard ratio 3.18 (95% CI 1.53-6.61, p = 0.002) for OS with borderline significance for RFS, hazard ratio 1.93 (95% CI 1.06-3.51, p = 0.032).

conclusionIndividually, NKA, CRP, IL6 and TGFβ were not suited for predicting disease recurrence after curative surgery for NSCLC. However, the combined biomarker score was significantly associated with OS. The score may give an indication of the immunological status of the patient, which could be useful for pre- or post-surgery assessment, in relation to immunotherapy or other oncologic treatments if future studies can prove clinical utility.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungLung NeoplasmsAdultAgedAged, 80 and overC-Reactive ProteinFemaleHumansInterleukin-6Killer Cells, NaturalMaleMiddle AgedNeoplasm Recurrence, LocalPrognosisTransforming Growth Factor betaBiomarkers, TumorC-Reactive ProteinInterleukin-6Transforming Growth Factor betaBiomarkersImmunologyInflammationLung cancerNon-small cell lung cancerSurgery

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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.