Research Article

Prognostic Value of C-Reactive Protein to Albumin Ratio in Glioblastoma Multiforme Patients Treated with Concurrent Radiotherapy and Temozolomide

Table 1

Baseline patient and disease characteristics.

CharacteristicWhole cohort (n = 153)CRP/Alb <0.75 (n = 92)CRP/Alb ≥0.75 (n = 61) value

Median age, y (range)59 (24–80)60 (34–80)57 (24–79)0.73
Age group, n (%)
 <50 years47 (30.7)30 (32.6)17 (27.9)0.24
 ≥50 years106 (69.3)62 (67.4)44 (72.1)
Gender, n (%)
 Female53 (34.6)32 (34.8)21 (34.4)0.83
 Male100 (65.4)60 (65.2)40 (65.6)
KPS, n (%)
 90–10093 (60.8)56 (60.9)37 (60.6)0.92
 70–8060 (39.2)36 (39.1)24 (39.4)
RTOG RPA class, n (%)
 III60 (39.2)41 (44.6)19 (31.1)0.19
 IV63 (41.2)39 (41.3)24 (39.3)
 V30 (19.6)12 (18.5)18 (29.6)
Symptom duration
 Median, mo (range)1.9 (0.3–5.92.0 (0.3–5.9)1.7 (0.3–4.4)0.62
 <3 months, n (%)113 (73.9)69 (75.0)44 (72.1)
 ≥3 months, n (%)40 (26.1)23 (25.0)17 (27.9)
Tumor location, n (%)
 Frontal37 (24.2)22 (23.9)15 (24.6)0.71
 Parietal29 (19.0)18 (19.6)11 (18.0)
 Temporal34 (22.2)20 (21.7)14 (23.0)
 Occipital15 (9.8)9 (9.8)6 (9.8)
 Midline16 (10.5)10 (10.9)6 (9.8)
 Multilobar22 (14.3)13 (14.1)9 (14.8)
Extent of surgery, n (%)
 Gross total54 (35.3)32 (34.8)22 (36.1)0.56
 Subtotal74 (48.4)44 (47.8)30 (49.2)
 Biopsy25 (16.3)16 (17.4)9 (14.7)
Corticosteroid use, n (%)
 Yes104 (68.0)62 (68.8)42 (67.4)0.80
 No49 (32.0)30 (31.2)19 (32.6)
Anticonvulsant use, n (%)
 Yes50 (32.7)29 (31.5)21 (34.4)0.48
 No103 (67.3)63 (68.5)40 (65.6)
Comorbid conditions, n (%)
 DM10 (6.5)6 (6.5)4 (6.6)0.91
 HT7 (4.6)4 (4.3)3 (4.9)0.42
 CAHD5 (3.3)3 (3.3)2 (3.3)0.98
 COPD4 (2.6)2 (2.2)2 (3.3)0.39
 CLD2 (1.3)1 (1.1)1 (1.7)0.48

CRP/Alb, CRP to albumin ratio; KPS, Karnofsky performance score; RTOG RPA, radiation therapy oncology group recursive partitioning analysis; DM, diabetes mellitus; HT, hypertension; CAHD, coronary artery heart disease; COPD, chronic obstructive lung disease; CLD, chronic liver disease.