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The Prognostic Impact of Neutrophil Lymphocytic Ratio (NLR)
o n
Survival of Patients with Glioblastoma Multiforme (GBM): A
Retrospective Cohort Study

Research Authors
Amal Rayan & Aiat M. M. Morsy
Research Journal
Cancer and Clinical Oncology
Research Member
Research Publisher
Published by Canadian Center of Science and Education
Research Rank
1
Research Vol
Vol. 6, No. 2; 2017
Research Website
URL: http s://doi.org/10.5539/ cco. v6n2p69
Research Year
2017
Research_Pages
69-74
Research Abstract

Abstract
Background and aim
: Neoplasia related inflammation now is proved to be a factor determining the outcomes in
patients with cancer including glioblastoma, we aimed to determine the prognostic value of NLR on the
progression fre e (PFS) and overall survival (OS) for patients with GBM.
Methods
: The baseline complete blood picture prior to the initiation of any corticosteroid and cancer therapy
(surgery and RT) was obtained then NLR was determined and correlated with PFS and OS for patients with
GBM.
Results
: patients with NLR ≤4 had a significantly better PFS (the median PFS=12±1.614 months,
CI=8.836 15.164 for those with NLR ≤4 vs. a Median PFS=6±1.239 months, CI=3.572 8.428 for those with
NLR>4, P<0.009) and OS (the median OS=15±3 .627 months, CI=7.890 22.110 vs. a median OS=7±1.038
months, CI=4.966 9.034, P<0.002 for those with NLR≤4 vs. those with NLR>4 respectively). And this effect of
NLR was dependant on other prognostic factors.
Conclusion
: NLR had a prognostic effect on PFS a nd OS, but it wasn't an independent factor for survival.