Review Article

An Elevated Platelet-to-Lymphocyte Ratio Predicts Poor Prognosis and Clinicopathological Characteristics in Patients with Colorectal Cancer: A Meta-Analysis

Table 1

Baseline characteristics and design variables of eligible studies.

StudyCountryYearNumber of patients (M/F)aSampling timeAge: mean ± SD/
median (range)b
Cut-off pointRate of PLR (n/N)cFollow-up: mean ± SD/
median (range)d
Outcome
measurede
NOSf

MoriJapan2015152 (87/65)PreoperativeMean: 66.9; range: 35–8915084/152Median: 20.5 (0.2–62.4)OS, DFS6
SongKorea2015177 (83/94)Before treatmentMedian: 52 (25–81)150104/177Median: 3.1 (0.1–33.3)OS5
OzawaJapan2015234 (142/92)PreoperativeNR25.453/234Median: 64 (1–173)OS, DFS, CSS7
NealUK2015302 (192/110)PreoperativeMedian: 66 (26–85);
mean: 64.8
150169/302Median: 29.7 (4–96)OS, CSS7
LiChina2015110 (58/52)PreoperativeMean: 62.9 ± 11.916264/110Max: 24OS6
ChoiCanada2015549 (296/253)PreoperativeMedian: 68.7 (28.3–92.6)29551/549Median: 48 (0–124.8)OS, RFS8
AzabUSA2014580 (273/307)Before treatmentMean: 68.62 ± 12.82147387/580Mean: 41.2;
median: 40.5
OS, DFS, CSS7
NeofytouUK2014140 (88/52)PreoperativeNR15058/140Median: 33 (1–103)OS, DFS7
YingChina2014205 (144/61)PreoperativeNR17679/205NROS, RFS, CSS6
SzkanderaAustria2014372 (217/155)PreoperativeMedian: 64 (27–95)RFS: 176
OS: 225
176 : 217/372; 225 : 164/372Median: 68 (1–190)OS, RFS6
SunChina2014255 (135/120)PreoperativeMean: 59.47 ± 12.63150120/254NROS, DFS6
BaranyaiHungary2014CRC: 336 (180/156);
mCRC: 118 (80/38)
PreoperativeCRC: 66.9 ± 11; mCRC: 61.0 ± 8.3300CRC: 31/336; mCRC: 5/118Median: 36.1OS, DFS6
SonKorea2013624 (368/256)PreoperativeNR30016/624Median: 42.0 (1–66)OS, DFS6
HeChina2013243 (155/88)Before chemotherapyMedian: 56 (18–83)150130/243Median: 21.87OS, DFS7
KwonKorea2012200 (123/77)PreoperativeMedian: 64 (26–83)15083/200Median: 33.6OS5
CarruthersUK2012115 (75/40)PretreatmentMean: 63.8;
range: 32.3–81.1
160NRMedian: 37.1OS, RFS, DFS5
ProctorUK2011374NRNR150NRMedian: 51 (18–115)OS, CSS6

aM/F presents the number of males and females, respectively. bThe age of patients was summarized as mean with standard deviation or median with range. cThe rate of patients with elevated PLR. dThe follow-up period was summarized as mean with standard deviation or median with range. eThe outcomes assessed (OS, DFS, CSS, or/and RFS) were presented in each included study. fThe study quality was assessed with the Newcastle-Ottawa scale criteria. CRC: colorectal cancer; CSS: cancer-specific survival; DFS: disease-free survival; NOS: Newcastle-Ottawa scale criteria; NR: not reported; OS: overall survival; PLR: platelet-to-lymphocyte ratio; RFS: recurrence-free survival SD: standard deviation; UK: United Kingdom; USA: The United States of America.