Review Article

Systemic Inflammatory Response Based on Neutrophil-to-Lymphocyte Ratio as a Prognostic Marker in Bladder Cancer

Table 1

Clinical studies on the prognostic value of SIR-related hematological biomarkers in various types of cancers other than UC.

StudyMarkerType of cancerThresholdAssessment periodResults

Parker et al. [22]AlbuminOvarian cancer3.5 & 4.1 g/dLBefore operationLow-albumin level (continuous value) was associated with worse OS

Lis et al. [19]AlbuminBreast cancer3.5 g/dLBefore operationLow-albumin level (<3.5 g/dL) was related to higher death rate

Lai et al. [7]AlbuminColon cancer3.5 g/dLBefore operationHypoalbuminemia (<3.5 g/dL) was associated with increased morbidity and mortality

Seebacher et al. [67]AlbuminEndometrial cancer4.21 g/dL or continuousBefore operationIncreased albumin level (continuous) was related to better DFS and PFS

Hashimoto et al. [14]CRPHCC1.0 mg/dLBefore operationElevated CRP (>1) was significant predictor of worse OS and RFS

Lehrer et al. [28]CRPProstate cancerNA (continuous)Before radiationThere was a significant correlation of CRP level with PSA

Crumley et al. [16]CRPGastroesophageal cancer1.0 mg/dLBefore operationElevated CRP (>1) was independent predictor of CSS

Jones et al. [4]CRPLung cancer0.4 mg/dLBefore operationElevated CRP (>0.4) was related to larger tumor size, advanced tumor stage, and incomplete resection

Karakiewicz et al. [32]CRPRCC0.4 & 2.3 mg/dLBefore nephrectomyElevated CRP (>2.3) was an informative predictor of worse CSS

Beer et al. [29]CRPMetastatic prostate cancer0.8 mg/dLBefore docetaxel based chemotherapyElevated CRP (>0.8) was a strong predictor of poor OS and lower PSA response to chemotherapy

Hefler et al. [23]CRPOvarian cancer1.0 mg/dLBefore surgeryElevated CRP (>1.0 & continuous) was associated with postoperative residual tumor and worse OS

Shiu et al. [8]CRPColorectal cancer0.5 mg/dLBefore surgeryElevated CRP (>0.5) was correlated with larger tumor size, higher stage, and poorer CSS

Crumley et al. [17]GPSInoperable gastroesophageal cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before nonsurgical treatmentHigh GPS was significant predictor of worse CSS

Al Murri et al. [20]GPSMetastatic breast cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before non-surgical treatmentHigh GPS was significant predictor of worse CSS

Ramsey et al. [33]GPSMetastatic RCC1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before treatmentHigh GPS was significant predictor of worse CSS

Polterauer et al. [25]GPSCervical cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before surgeryHigh GPS was significant predictor of worse OS and DFS

Vashist et al. [18]GPSEsophageal cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before surgeryHigh GPS was a strong prognosticator of perioperative morbidity and worse DFS and OS

Kinoshita et al. [15]GPSHCC1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before treatmentHigh GPS was independently associated with worse CSS

Leitch et al. [9]mGPSColorectal cancer (operable or unresectable)1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before treatmentHigh mGPS was independently associated with worse CSS in patients with either operable or unresectable colorectal cancer

Jiang et al. [13]mGPSGastric cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before surgeryHigh mGPS was independently associated with worse OS irrespective of cancer stage

Ishizuka et al. [10]mGPSUnresectable colorectal cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before chemotherapyHigh mGPS (1/2) was an independent risk factor of poor CSS

La Torre et al. [27]mGPSPancreatic cancer1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before surgeryHigh mGPS was independently associated with worse OS irrespective of cancer stage

Lamb et al. [34]mGPSRCC1.0 mg/dL (CRP)
3.5 g/dL (Albumin)
Before surgeryHigh mGPS was significantly independent predictors of worse OS and CSS

Cho et al. [24]NLROvarian cancer2.6Before surgeryPositive NLR (>2.6) showed worse OS and DFS than negative NLR (<2.6)

Chua et al. [11]NLRMetastatic colorectal cancer5Before chemotherapyElevated NLR (>5) was independently associated with less clinical response to chemotherapy and worse OS and PFS

Azab et al. [21]NLRBreast cancerMultiple cut-offs
(1.8, 2, 45, 3, 33)
Before chemotherapyHigh NLR (>3.3) was an independent significant predictor of all-cause mortality

Keizman et al. [70]NLRMetastatic CRPC3Before ketoconazoleLow NLR (≤3.0) was significantly associated with better PFS

Keizman et al. [71]NLRMetastatic RCC3Before sunitinibLow NLR (≤3.0) was independent predictor of better response to sunitinib and favorable PFS and OS

Lee et al. [26]NLRCervical cancer1.9Before treatmentHigh NLR (≥1.9) was related to more advanced stage and increased NLR (continuous) was an independent predictor of worse PFS and OS

Yao et al. [5]NLRAdvanced lung cancer2.63Before chemotherapyLow NLR (≤2.63) was independently associated with better clinical response to chemotherapy and favorable OS and PFS

RCC: renal cell carcinoma, HCC: hepatocellular carcinoma, CRP: C-reactive protein, GPS: Glasgow Prognostic Score, mGPS: modified Glasgow Prognostic Score, NLR: neutrophil-to-lymphocyte ratio, OS: overall survival, DFS: disease-free survival, PFS: progression-free survival, and CSS: cancer specific survival.