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Prognostic Impact of Albumin-bilirubin (ALBI) Grade on Non-small Lung Cell Carcinoma: A Propensity-score Matched Analysis

by WAKASU, SHO , KINOSHITA, FUMIHIKO , YAMASHITA, TAKANORI , HARATAKE, NAOKI , KOSAI, KEISUKE , TAKENAKA, TOMOYOSHI , MORI, MASAKI , TAGAWA, TETSUZO , OKU, YUKA , ONO, YUKI , TOYOKAWA, GOUJI , NAKASHIMA, NAOKI , SHIMOKAWA, MOTOTSUGU

in Adult / Age / Aged / Aged, 80 and over / Albumin / Albumins / Bilirubin / Bilirubin - blood / C-reactive protein / Cancer / Carcinoma, Non-Small-Cell Lung - blood / Carcinoma, Non-Small-Cell Lung - mortality / Carcinoma, Non-Small-Cell Lung - pathology / Chemotherapy / Female / Gastric cancer / Hepatocellular carcinoma / Humans / Liver cancer / Liver cirrhosis / Liver diseases / Lung carcinoma / Lung Neoplasms - blood / Lung Neoplasms - mortality / Lung Neoplasms - pathology / Lungs / Lymphocytes / Male / Matching / Medical prognosis / Middle Aged / Multivariate analysis / Non-small cell lung carcinoma / Patients / Prognosis / Propensity Score / Serum Albumin - analysis / Small cell lung carcinoma / Surgery / Surgical outcomes / Survival analysis

2021

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Prognostic Impact of Albumin-bilirubin (ALBI) Grade on Non-small Lung Cell Carcinoma: A Propensity-score Matched Analysis

2021

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Prognostic Impact of Albumin-bilirubin (ALBI) Grade on Non-small Lung Cell Carcinoma: A Propensity-score Matched Analysis

2021

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Journal Article

Prognostic Impact of Albumin-bilirubin (ALBI) Grade on Non-small Lung Cell Carcinoma: A Propensity-score Matched Analysis

WAKASU, SHO,

KINOSHITA, FUMIHIKO,

YAMASHITA, TAKANORI,

HARATAKE, NAOKI,

KOSAI, KEISUKE,

TAKENAKA, TOMOYOSHI,

MORI, MASAKI,

TAGAWA, TETSUZO,

OKU, YUKA,

ONO, YUKI,

TOYOKAWA, GOUJI,

NAKASHIMA, NAOKI,

SHIMOKAWA, MOTOTSUGU

2021

Overview

Albumin-bilirubin (ALBI) grade is an indicator of liver dysfunction and is useful for predicting postoperative prognosis of hepatocellular carcinomas. However, the significance of ALBI grade in non-small cell lung carcinoma (NSCLC) has not been elucidated. We analyzed 947 patients with pStage IA-IIIA NSCLC. We divided patients into ALBI grade 1 and grade 2/3 groups. We then analyzed the association of ABLI grade with clinicopathological characteristics and prognosis in NSCLC by using propensity-score matching. ALBI grade 2/3 was significantly associated with older age, male sex, advanced pT status, and histological type. Even after propensity-score matching, ALBI grade 2/3 patients had significantly worse cancer-specific survival (CSS) than ALBI grade 1 patients (5-year CSS: 87.3% versus 92.8%; p=0.0247). In multivariate analysis, ALBI grade 2/3 was an independent predictor of CSS (HR=1.9; 95%CI=1.11-3.11; p=0.0177). ALBI grade was an independent prognostic factor in surgically resected NSCLC.

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Publisher

International Institute of Anticancer Research

Subject

Adult

/ Age

/ Aged

/ Aged, 80 and over

/ Albumin

/ Albumins

/ Bilirubin