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The Prognostic Role of Glasgow Prognostic Score and C-reactive Protein to Albumin Ratio for Sarcoma: A System Review and Meta-Analysis
Joint Authors
Fang, Erhu
Wang, Xiaolin
Feng, Jiexiong
Zhao, Xiang
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-14, 14 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-01-07
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Abstract EN
Backgrounds.
Both pretreatment serum CRP (C-reactive protein) level and ALB (albumin) level have been found to be predictive of survival for multiple malignancies including sarcoma.
Since both of the GPS (Glasgow prognostic score) and CAR (C-reactive protein to albumin ratio) are based on the combination of CRP and ALB, we conducted a meta-analysis to evaluate the prognostic role of these two parameters for sarcoma patients.
Methods.
A detailed literature search was conducted in MEDLINE, Embase, and Cochrane Library for relevant research publications written in English.
Patients’ clinical characteristics, outcomes of overall survival (OS), disease-specific survival (DSS), and disease-free survival (DFS) were extracted.
Pooled hazard ratios (HRs) and corresponding 95% confidence intervals (CIs) were combined to evaluate the prognostic role of GPS or CAR.
Results.
Twelve articles containing 2695 patients were identified as eligible studies.
The results showed that an elevated GPS was significantly correlated with poor OS (HR=2.42; 95% CI: 1.98-2.94; p<0.001; fixed-effects model), DSS (HR=2.28; 95% CI: 1.75-2.97; p<0.001; fixed-effects model), and DFS (HR=2.05; 95% CI: 1.62-2.60; p<0.001; fixed-effects model).
A higher CAR also was shown to be significantly correlated with poor OS (HR=2.23; 95% CI: 1.70-2.92; p<0.001; fixed-effects model) and DFS (HR=1.81; 95% CI: 1.7-2.58; p=0.001; fixed-effects model).
Conclusion.
An elevated GPS is predictive of poor survival in patients with sarcomas and is promising to be used as a factor for risk stratification.
A higher CAR value is also predictive of poor survival; however, the optimal CAR cut-off value is still to be determined.
American Psychological Association (APA)
Fang, Erhu& Wang, Xiaolin& Feng, Jiexiong& Zhao, Xiang. 2020. The Prognostic Role of Glasgow Prognostic Score and C-reactive Protein to Albumin Ratio for Sarcoma: A System Review and Meta-Analysis. Disease Markers،Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1154049
Modern Language Association (MLA)
Fang, Erhu…[et al.]. The Prognostic Role of Glasgow Prognostic Score and C-reactive Protein to Albumin Ratio for Sarcoma: A System Review and Meta-Analysis. Disease Markers No. 2020 (2020), pp.1-14.
https://search.emarefa.net/detail/BIM-1154049
American Medical Association (AMA)
Fang, Erhu& Wang, Xiaolin& Feng, Jiexiong& Zhao, Xiang. The Prognostic Role of Glasgow Prognostic Score and C-reactive Protein to Albumin Ratio for Sarcoma: A System Review and Meta-Analysis. Disease Markers. 2020. Vol. 2020, no. 2020, pp.1-14.
https://search.emarefa.net/detail/BIM-1154049
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154049