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• W4313647030 abstract "Aim To evaluate the feasibility of the preoperative neutrophil-to-lymphocyte ratio (NLR) as an index to guide postoperative adjuvant transcatheter arterial chemoembolization (PA-TACE) in patients with liver cancer. Methods We recruited a total of 166 patients with liver cancer who underwent surgery alone or surgery plus PA-TACE between January 2013 and June 2017 and compared the 1, 2, and 3-year recurrence-free survival (RFS) and overall survival (OS) between patients with high and low NLRs, surgery and surgery plus PA-TACE groups, and relevant subgroups using the Kaplan–Meier method. We also evaluated the independent factors affecting the prognosis of liver cancer after surgery using a Cox risk ratio model and correlation between NLR levels and high-risk recurrence factors of liver cancer with logistic regression analysis. Results The 1, 2, and 3-year RFS rates were all significantly higher in the low-NLR group compared to the high-NLR group ( P &lt; 0.05). However, the 1, 2, and 3-year OS rates were similar in the low- and high-NLR groups ( P &gt; 0.05). After propensity score matching, the 1, 2, and 3-year RFS and OS rates were significantly better in patients treated with surgery plus PA-TACE compared with surgery alone ( P &lt; 0.05). The 1, 2, and 3-year RFS and OS rates were also significantly better in the surgery plus PA-TACE subgroup compared with the surgery-alone subgroup in the high-NLR group ( P &lt; 0.05), but there was no significant difference in RFS or OS between the surgery plus PA-TACE and surgery-alone subgroups at 1, 2, and 3 years in the low-NLR group ( P &gt; 0.05). Multivariate analysis in the high-NLR group showed that a poorly differentiated or undifferentiated tumor was an independent risk factor for postoperative RFS. Multiple tumors were an independent risk factor for postoperative OS ( P &lt; 0.05), while PA-TACE was an independent protective factor for postoperative RFS and OS ( P &lt; 0.05). In the low-NLR group, AFP &gt; 400 µg/L was an independent risk factor for postoperative OS ( P &lt; 0.05). Multivariate logistic regression indicated that patients with a maximum tumor diameter of &gt;5 cm were at increased risk of having high NLR levels compared to patients with a maximum tumor diameter of &lt;5 cm ( P &lt; 0.05). Conclusion PA-TACE can improve the prognosis of patients with a high preoperative NLR (≥2.5), but has no obvious benefit in patients with low preoperative NLR (&lt;2.5). This may provide a reference for clinical selection of PA-TACE." @default.
• W4313647030 created "2023-01-07" @default.
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• W4313647030 date "2023-01-06" @default.
• W4313647030 modified "2023-09-25" @default.
• W4313647030 title "Therapeutic effect of postoperative adjuvant transcatheter arterial chemoembolization based on the neutrophil-to-lymphocyte ratio" @default.
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• W4313647030 doi "https://doi.org/10.3389/fsurg.2022.1072451" @default.
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