Review Article

Prognostic Role of Neutrophil to Lymphocyte Ratio in Nonalcoholic Fatty Liver Disease: A Systematic Review and Meta-Analysis

Table 1

General characteristics of included studies.

First authorYearCountryDesignNASHFibrosisNOS score
CaseControlCut-off pointSENSPCaseControlCut-off pointSENSP
NNLRNNLRNNLRNNLR

Alkhouri [6]2011USA502.56 ± 1.06511.60 ± 0.611.907270222.93 ± 1.49261.73 ± 0.792.3073778
Abdel-razik [5]2015Egypt1202.60 ± 1.107531.90 ± 0.702.057375572.50 ± 1.10601.80 ± 0.902.4069798
Kara [11]2015TurkeyR1791.71 ± 0.59471.77 ± 0.581331.76 ± 0.64931.86 ± 0.687
Mohamed [15]2015Egypt302.19 ± 0.60301.55 ± 0.361.6377876
Yilmaz [17]2015TurkeyR95.70 ± 0.83292.52 ± 0.866
Asil [7]2016TurkeyP152.16 ± 0.49651.62 ± 0.431.7987817
Kahraman [10]2016Turkey1052.12 ± 1.02381.56 ± 0.387
Chen [8]2019China222.04 ± 0.86251.83 ± 0.666
Hanafy [9]2019Egypt2012.88 ± 0.44711.80 ± 0.508
Khoury [12]2019IsraelR529.70 ± 5.30396.00 ± 3.906.6077645610.20 ± 4.40354.90 ± 4.405.8088807
Adithya [14]2021Indonesia702.19 ± 0.53361.49 ± 0.301.778281262.61 ± 0.51801.74 ± 0.412.1592887
Lauszus [13]2021UK61.72 ± 0.41141.40 ± 0.386
Jayachandra [16]2021India433.79 ± 1.8172.41 ± 0.79133.27 ± 0.50131.46 ± 0.516

NASH = nonalcoholic steatohepatitis; N = number; NLR = neutrophil to lymphocyte ratio; NOS = the Newcastle–Ottawa Quality Assessment Scale; R = retrospective; : prospective; SEN = sensitivity; SP = specificity.