Research Article

Systemic Inflammation Response Index Predicts Survival Outcomes in Glioblastoma Multiforme Patients Treated with Standard Stupp Protocol

Table 1

Baseline demographics per SIRI status.

CharacteristicAll patients () () () value

Median age, y (range)59 (24-80)60 (32-79)58 (24-80)0.54
Age group, (%)
 <50 years57 (31.5)30 (31.3)27 (31.8)0.88
 ≥50 years124 (68.5)66 (68.7)58 (68.2)
Gender, (%)
 Female65 (35.9)34 (35.4)31 (36.5)0.84
 Male116 (64.1)62 (64.6)54 (63.5)
KPS, (%)
 90-10098 (54.1)55 (57.3)43 (50.6)0.17
 70-8083 (45.9)41 (42.7)42 (49.4)
Presenting symptoms
 Focal sensory-motor deficit96 (53.0)49 (51.0)47 (55.3)0.49
 Cognitive deficits44 (24.3)23 (24.0)21 (24.7)
 Increased ICP31 (17.1)19 (19.8)12 (14.1)
 Others10 (5.6)5 (5.2)5 (5.9)
Symptom duration, (%)
 <3 months129 (71.3)71 (74.0)58 (68.2)0.28
 ≥3 months52 (28.7)25 (26.0)27 (31.8)
Corticosteroid use, (%)
 Yes119 (65.7)59 (61.5)60 (70.6)0.08
 No62 (34.3)37 (38.5)25 (29.4)
Anticonvulsant use, (%)
 Yes67 (37.0)35 (36.5)32 (37.6)0.90
 No114 (63.0)61 (63.5)53 (62.4)
Tumor location, (%)
 Frontal39 (21.5)20 (20.8)19 (22.4)0.53
 Parietal32 (17.8)15 (15.7)17 (20.0)
 Temporal37 (20.4)20 (20.8)17 (20.0)
 Occipital19 (10.5)11 (11.5)8 (9.4)
 Midline19 (10.5)10 (10.4)9 (10.5)
 Multilobar35 (19.3)20 (20.8)15 (17.7)
Extent of surgery, (%)
 GTR67 (37.0)37 (38.5)30 (35.3)0.66
 STR79 (43.7)42 (43.8)37 (43.5)
 Biopsy35 (19.3)17 (17.7)18 (21.2)
IDH status
 Positive10 (10.8)5 (10.4)5 (11.1)0.78
 Negative83 (89.2)43 (89.6)40 (88.9)
RTOG RPA class, (%)
 III69 (38.1)37 (38.5)32 (37.6)0.74
 IV77 (42.5)42 (43.3)35 (41.2)
 V35 (19.4)17 (18.2)18 (21.2)

IDH status was available in 93 patients. Abbreviations: SIRI: systemic immune response index; KPS: Karnofsky performance score; ICP: intracranial pressure; GTR: gross total resection; STR: subtotal resection; IDH: isocitrate dehydrogenase; RTOG RPA: radiation therapy oncology group recursive partitioning analysis.