269
Views
17
CrossRef citations to date
0
Altmetric
Original Articles

Neutrophil-lymphocyte ratio and nutritional status are clinically useful in predicting prognosis in colorectal cancer patients

ORCID Icon, ORCID Icon, ORCID Icon & ORCID Icon
Pages 1345-1354 | Received 26 Jul 2019, Accepted 07 Oct 2019, Published online: 30 Oct 2019

References

  • Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin. 2017;67(1):7–30.
  • Edwards BK, Ward E, Kohler BA, Eheman C, Zauber AG, Anderson RN, Jemal A, Schymura MJ, Lansdorp-Vogelaar I, Seeff LC. Annual report to the nation on the status of cancer, 1975–2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer. 2010;116(3):544–573.
  • Vogelaar I, van Ballegooijen M, Schrag D, Boer R, Winawer SJ, Habbema JDF, Zauber AG. How much can current interventions reduce colorectal cancer mortality in the U.S.? Mortality projections for scenarios of risk-factor modification, screening, and treatment. Cancer. 2006;107(7):1624–1633.
  • De Stefano A, Moretto R, Bucci L, Pepe S, Romano FJ, Cella AC, Attademo L, Rosanova M, De Falco S, Fiore G, et al. Adjuvant treatment for locally advanced rectal cancer patients after preoperative chemoradiotherapy: when and for whom? Clin Colorectal Cancer. 2014;13(3):185–191. doi: 10.1016/j.clcc.2014.05.004.
  • Papamichael D, Audisio RA, Glimelius B, de Gramont A, Glynne-Jones R, Haller D, Kohne C-H, Rostoft S, Lemmens V, Mitry E, et al. Treatment of colorectal cancer in older patients: International Society of Geriatric Oncology (SIOG) consensus recommendations 2013. Ann Oncol. 2015;26(3):463–476. doi: 10.1093/annonc/mdu253.
  • Siegel RL, Miller KD, Fedewa SA, Ahnen DJ, Meester RGS, et al. Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017;67(3):177–193. doi: 10.3322/caac.21395.
  • Coussens LM, Werb Z. Inflammation and cancer. Nature. 2002;420(6917):860–867.
  • Dunn GP, Bruce AT, Ikeda H, Old LJ, Schreiber RD. Cancer immunoediting: from immunosurveillance to tumor escape. Nat Immunol. 2002;3(11):991–998.
  • Gu L, Ma X, Li H, Chen L, Xie Y, Zhao C, Luo G, Zhang X. Prognostic value of preoperative response biomarkers in patients with sarcomatoid renal cell carcinoma and the establishment of a nomogram. Sci Rep. 2016;6(1):23846. doi: 10.1038/srep23846.
  • Pine JK, Morris E, Hutchins GG, West NP, Jayne DG, Quirke P, Prasad KR. Systemic neutrophil-to-lymphocyte ratio in colorectal cancer: the relationship to patient survival, tumour biology and local lymphocytic response to tumour. Br J Cancer. 2015;113(2):204–211.
  • Passardi A, Scarpi E, Cavanna L, Dall’Agata M, Tassinari D, Leo S, Bernardini I, Gelsomino F, Tamberi S, Brandes AA, et al. Inflammatory indexes as predictors of prognosis and bevacizumab efficacy in patients with metastatic colorectal cancer. Oncotarget. 2016;7(22):33210–33219. doi: 10.18632/oncotarget.8901.
  • Mantovani A, Allavena P, Sica A. Balkwill F. Cancer-related inflammation. Nature. 2008;454:436–444.
  • Gupta D, Lis CG. Pretreatment serum albumin as a predictor of cancer survival: a systematic review of the epidemiological literature. Nutr J. 2010;9(1):69. doi: 10.1186/1475-2891-9-69.
  • McMillan DC. Systemic inflammation, nutritional status and survival in patients with cancer. Curr Opin Clin Nutr Metab Care. 2009;12(3):223–226. doi: 10.1097/MCO.0b013e32832a7902.
  • Hefler LA, Concin N, Hofstetter G, Marth C, Mustea A, Sehouli J, Zeillinger R, Leipold H, Lass H, Grimm C, et al. Serum C-reactive protein as independent prognostic variable in patients with ovarian cancer. Clin Cancer Res. 2008;14(3):710–714. doi: 10.1158/1078-0432.ccr-07-1044.
  • Wang D, Yang J-X, Cao D-Y, Wan X-R, Feng F-Z, Huang H-F, Shen K, Xiang Y. Preoperative neutrophil-lymphocyte and platelet-lymphocyte ratios as independent predictors of cervical stromal involvement in surgically treated endometrioid adenocarcinoma. OncoTargets Ther. 2013;6:211–216. doi: 10.2147/OTT.S41711.
  • Tsai PL, Su WJ, Leung WH, Lai CT, Liu CK. Neutrophil-lymphocyte ratio and CEA level as prognostic and predictive factors in colorectal cancer: a systematic review and meta-analysis. J Can Res Ther. 2016;12(2):582–589.
  • Yang HB, Xing M, Ma LN, Feng LX, Yu Z. Prognostic significance of neutrophil-lymphocyteratio/platelet-lymphocyteratioin lung cancers: a meta-analysis. Oncotarget. 2016;7(47):76769–76778. doi: 10.18632/oncotarget.12526.
  • Dimitriou N, Felekouras E, Karavokyros I, Alexandrou A, Pikoulis E, Griniatsos J. Neutrophils to lymphocytes ratio as a useful prognosticator for stage II colorectal cancer patients. BMC Cancer. 2018;18(1):1202.
  • Haram A, Boland MR, Kelly ME, Bolger JC, Waldron RM, Kerin MJ. The prognostic value of neutrophil-to-lymphocyte ratio in colorectal cancer: a systematic review. J Surg Oncol. 2017;115(4):470–479.
  • Mohan M, John JE. Nutritional status of colorectal cancer (CRC) patients undergoing conventional cancer therapies. IOSR-JNHS. 2013;3(1):31–36. e-ISSN: 2320–1959. p-ISSN: 2320–1940.
  • Campbell PT, Newton CC, Dehal AN, Jacobs EJ, Patel AV, Gapstur SM. Impact of body mass index on survival after colorectal cancer diagnosis: the cancer prevention study-II nutrition cohort. JCO. 2012;30(1):42–52.
  • Campbell PT, Newton CC, Newcomb PA, Phipps AI, Ahnen DJ, Baron JA, Buchanan DD, Casey G, Cleary SP, Cotterchio M, et al. Association between body mass index and mortality for colorectal cancer survivors: overall and by tumor molecular phenotype. Cancer Epidemiol Biomark Prev. 2015;24(8):1229–1238. doi: 10.1158/1055-9965.
  • Meyerhardt JA, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ, Nelson H, Whittom R, Hantel A, Thomas J, Fuchs CS, et al. Impact of body mass index and weight change after treatment on cancer recurrence and survival in patients with stage III colon cancer: findings from cancer and leukemia group B 89803. JCO. 2008;26(25):4109–4115. doi: 10.1200/JCO.2007.15.6687.
  • Meyerhardt JA, Kroenke CH, Prado CM, Kwan ML, Castillo A, Weltzien E, Cespedes Feliciano EM, Xiao J, Caan BJ. Association of weight change after colorectal cancer diagnosis and outcomes in the kaiser permanente Northern California population. Cancer Epidemiol Biomark Prev. 2017;26(1):30–37. doi: 10.1158/1055-9965.
  • Baade PD, Meng X, Youl PH, Aitken JF, Dunn J, Chambers SK. The impact of body mass index and physical activity on mortality among patients with colorectal cancer in Queensland, Australia. Cancer Epidemiol Biomark Prev. 2011;20(7):1410–1420. doi: 10.1158/1055-9965.
  • Vergidis J, Gresham G, Lim HJ, Renouf DJ, Kennecke HF, Ruan JY, Chang JT, Cheung WY. Impact of weight changes after the diagnosis of stage III colon cancer on survival outcomes. Clin Colorectal Cancer. 2016;15(1):16–23.
  • Liesenfeld DB, Grapov D, Fahrmann JF, Salou M, Scherer D, Toth R, Habermann N, Böhm J, Schrotz-King P, Gigic B, et al. Metabolomics and transcriptomics identify pathway differences between visceral and subcutaneous adipose tissue in colorectal cancer patients: the colocare study. Am J Clin Nutr. 2015;102(2):433–443.
  • Tisdale MJ. Cancer cachexia. Curr Opin Gastroenterol. 2010;26(2):146–151. doi: 10.1097/MOG.0b013e3283347e77.
  • Tan CS, Read JA, Phan VH, Beale PJ, Peat JK, Clarke SJ. The relationship between nutritional status, inflammatory markers and survival in patients with advanced cancer: a prospective cohort study. Support Care Cancer. 2015;23(2):385–391. doi: 10.1007/s00520-014-2385-y.
  • Mcmillan DC. The systemic inflammation-based glasgow prognostic score: a decade of experience in patients with cancer. Cancer Treat Rev. 2013;39(5):534–540. doi: 10.1016/j.ctrv.2012.08.003.
  • Koh YW, Choi J-H, Ahn MS, Choi YW, Lee HW. Baseline neutrophil-lymphocyte ratio is associated with baseline and subsequent presence of brain metastases in advanced non-small-cell lung cancer. Sci Rep. 2016;6(1):38585. doi: 10.1038/srep38585.
  • Rachidi S, Wallace K, Wrangle JM, Day TA, Alberg AJ, Li Z. Neutrophil-to-lymphocyte ratio and overall survival in all sites of head and neck squamous cell carcinoma. Head Neck. 2016;38(S1):E1068–E1074. doi: 10.1002/hed.24159.
  • World Health Organization (Switzerland). Obesity—Presenting and managing the global epidemic: report of a WHO consultation. Geneva: WHO; 1998.
  • Blackburn GL, Bistrian BR, Maini BS, Schlamm HT, Smith MF. Nutritional and metabolic assessment of the hospitalized patient. JPEN J Parenter Enteral Nutr. 1977;1(1):11–32.
  • Hosmer DW, Lemeshow S. Applied logistic regression, 2nd ed. New York: Wiley; 2000.
  • Moghaddam AA, Woodward M, Huxley R. Obesity and risk of colorectal cancer: a meta-analysis of 31 studies with 70,000 events. Cancer Epidemiol Prev Biomark. 2007;16(12):2533–2547.
  • Kalantar-Zadeh K, Horwich TB, Oreopoulos A, Kovesdy CP, Younessi H, Anker SD, Morley JE. Risk factor paradox in wasting diseases. Curr Opin Clin Nutr Metab Care. 2007;10(4):433–442.
  • Kalb M, Langheinrich MC, Merkel S, Krautz C, Brunner M. Influence of body mass index on long-term outcome in patients with rectal cancer—a single centre experience. Cancers. 2019;11(5):609. Published online 2019 Apr 30.
  • Hines RB, Shanmugam C, Waterbor JW, McGwin G, Funkhouser E, Coffey CS, Posey J, Manne U. Effect of comorbidity and body mass index on the survival of African-American and Caucasian patients with colon cancer. Cancer. 2009;115(24):5798–5806. doi: 10.1002/cncr.24598.
  • Wu S, Liu J, Wang X, Li M, Gan Y, Tang Y. Association of obesity and overweight with overall survival in colorectal cancer patients: a meta-analysis of 29 studies. Cancer Causes Control. 2014;25(11):1489–1502. doi: 10.1007/s10552-014-0450-y.
  • Kocarnik JM, Hua X, Hardikar S, Robinson J, Lindor NM, Win AK, Hopper JL, Figueiredo JC, Potter JD, Campbell PT, et al. Long-term weight loss after colorectal cancer diagnosis is associated with lower survival: the colon cancer family registry. Cancer. 2017;123(23):4701–4708. doi: 10.1002/cncr.30932.
  • Walter V, Jansen L, Hoffmeister M, Ulrich A, Roth W, Bläker H, Chang-Claude J, Brenner H. Prognostic relevance of prediagnostic weight loss and overweight at diagnosis in patients with colorectal cancer. Am J Clin Nutr. 2016;104(4):1110–1120.
  • Azvolinsky A. Cancer prognosis: role of BMI and fat tissue. J Natl Cancer Inst. 2014;106(6):177 doi: 10.1093/jnci/dju177.
  • Renehan AG. The ‘obesity paradox’ and survival after colorectal cancer: true or false? Cancer Causes Control. 2014;25:1419–1422. doi: 10.1007/s10552-014-0436-9.
  • Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes. 2008;32(S3):S56–S59. doi: 10.1038/ijo.2008.87.
  • Karastergiou K, Smith SR, Greenberg AS, Fried SK. Sex differences in human adipose tissues—the biology of pear shape. Biol Sex Differ. 2012;3(1):13. doi: 10.1186/2042-6410-3-13.
  • Thoresen L, Frykholm G, Lydersen S, Ulveland H, Baracos V, Prado CMM, Birdsell L, Falkmer U. Nutritional status, cachexia and survival in patients with advanced colorectal carcinoma. Different assessment criteria for nutritional status provide unequal results. Clin Nutr. 2013;32(1):65–72. doi: 10.1016/j.clnu.2012.05.009.
  • Uratani R, Toiyama Y, Shimura T, Mori K, Fujikawa H, et al. Preoperative lower body mass index correlates with poorer prognosis in patients undergoing curative laparoscopic surgery for colorectal cancer. Anticancer Res. 2015;35(10):5639–5648.
  • Bachmann J, Müller T, Schröder A, Riediger C, Feith M, Reim D, Friess H, Martignoni ME. Influence of an elevated nutrition risk score (NRS) on survival in patients following gastrectomy for gastric cancer. Med Oncol. 2015;32(7):204. doi: 10.1007/s12032-015-0631-x.
  • Read JA, Choy ST, Beale PJ, Clarke SJ. Evaluation of nutritional and inflammatory status of advanced colorectal cancer patients and its correlation with survival. Nutr Cancer. 2006;55(1):78–85.
  • Cederholm T, Barazzoni R, Austin P, Ballmer P, Biolo G, Bischoff SC, Compher C, Correia I, Higashiguchi T, Holst M, et al. ESPEN guidelines on definitions and terminology of clinical nutrition. Clin Nutr. 2017;36(1):49–64.
  • Amano K, Maeda I, Morita T, Baba M, Miura T, Hama T, Mori I, Nakajima N, Nishi T, Sakurai H, et al. C‐reactive protein, symptoms and activity of daily living in patients with advanced cancer receiving palliative care. J Cachexia Sarcopenia Muscle. 2017;8(3):457–465.
  • Turner N, Wong H-L, Templeton A, Tripathy S, Whiti Rogers T, Croxford M, Jones I, Sinnathamby M, Desai J, Tie J, et al. Analysis of local chronic inflammatory cell infiltrate combined with systemic inflammation improves prognostication in stage II colon cancer independent of standard clinicopathologic criteria. Int J Cancer. 2016;138(3):671–678. doi: 10.1002/ijc.29805.
  • Absenger G, Szkandera J, Pichler M, Stotz M, Arminger F, Weissmueller M, Schaberl-Moser R, Samonigg H, Stojakovic T, Gerger A, et al. A derived neutrophil to lymphocyte ratio predicts clinical outcome in stage II and III colon cancer patients. Br J Cancer. 2013;109(2):395–400. doi: 10.1038/bjc.2013.346.
  • Kim JH, Lee JY, Kim HK, Lee JW, Jung SG, Jung K, Kim SE, Moon W, Park MI, Park SJ, et al. Prognostic significance of the neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio in patients with stage III and IV colorectal cancer. WJG. 2017;23(3):505–515. doi: 10.3748/wjg.v23.i3.505.
  • Cruz RM, del Puerto NL, Zheng B, López-Bajo R, Cebrian A, et al. Prognostic significance of neutrophil-to lymphocyte ratio and platelet-to lymphocyte ratio in older patients with metastatic colorectal cancer. J Geriatr Oncol. 2018;10(5):742–748. doi: 10.1016/j.jgo.2018.10.002.
  • Karin M. Nuclear factor-kappaB in cancer development and progression. Nature. 2006;441(7092):431–436.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.