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This study sought to investigate the significance of GPS for prognostication of patients who underwent surgery with extrahepatic cholangiocarcinoma.\nMethods\nWe retrospectively analyzed a total of 62 patients who underwent resection for extrahepatic cholangiocarcinoma. We calculated the GPS as follows: patients with both an elevated C-reactive protein (\u003e10 mg/L) and hypoalbuminemia (\u003c35 g/L) were allocated a score of 2; patients with one or none of these abnormalities were allocated a score of 1 or 0, respectively. Prognostic significance was analyzed by the log-rank test and a Cox proportional hazards model.\nResults\nOverall survival rate was 25.5 % at 5 years for all 62 patients. Venous invasion (p = 0.01), pathological primary tumor category (p = 0.013), lymph node metastasis category (p \u003c 0.001), TNM stage (p \u003c 0.001), and GPS (p = 0.008) were significantly associated with survival by univariate analysis. 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Inflammation-based prognostic score is a useful predictor of postoperative outcome in patients with extrahepatic cholangiocarcinoma
http://hdl.handle.net/2241/00122564
http://hdl.handle.net/2241/00122564f12ddd0e-d4a4-4cbe-b9e5-81116c7a3eb9
名前 / ファイル | ライセンス | アクション |
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JHBPS_20-3 (330.2 kB)
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Item type | Journal Article(1) | |||||
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公開日 | 2014-12-08 | |||||
タイトル | ||||||
タイトル | Inflammation-based prognostic score is a useful predictor of postoperative outcome in patients with extrahepatic cholangiocarcinoma | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Oshiro, Yukio
× Oshiro, Yukio× Sasaki, Ryoko× Fukunaga, Kiyoshi× Kondo, Tadashi× Oda, Tatsuya× Takahashi, Hideto× Ohkohchi, Nobuhiro |
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著者別名 |
大城, 幸雄
× 大城, 幸雄× 福永, 潔× 近藤, 匡× 小田, 竜也× 大河内, 信弘 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background/purpose Recent studies have revealed that the Glasgow prognostic score (GPS), an inflammation-based prognostic score, is useful for predicting outcome in a variety of cancers. This study sought to investigate the significance of GPS for prognostication of patients who underwent surgery with extrahepatic cholangiocarcinoma. Methods We retrospectively analyzed a total of 62 patients who underwent resection for extrahepatic cholangiocarcinoma. We calculated the GPS as follows: patients with both an elevated C-reactive protein (>10 mg/L) and hypoalbuminemia (<35 g/L) were allocated a score of 2; patients with one or none of these abnormalities were allocated a score of 1 or 0, respectively. Prognostic significance was analyzed by the log-rank test and a Cox proportional hazards model. Results Overall survival rate was 25.5 % at 5 years for all 62 patients. Venous invasion (p = 0.01), pathological primary tumor category (p = 0.013), lymph node metastasis category (p < 0.001), TNM stage (p < 0.001), and GPS (p = 0.008) were significantly associated with survival by univariate analysis. A Cox model demonstrated that increased GPS was an independent predictive factor with poor prognosis. Conclusions The preoperative GPS is a useful predictor of postoperative outcome in patients with extrahepatic cholangiocarcinoma. |
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書誌情報 |
Journal of hepato-biliary-pancreatic sciences 巻 20, 号 3, p. 389-395, 発行日 2013-03 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1868-6974 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA12507209 | |||||
PubMed番号 | ||||||
識別子タイプ | PMID | |||||
関連識別子 | 23138964 | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1007/s00534-012-0550-6 | |||||
権利 | ||||||
権利情報 | © Japanese Society of Hepato-Biliary-Pancreatic Surgery and Springer 2012. The original publication is available at www.springerlink.com. | |||||
著者版フラグ | ||||||
値 | author | |||||
出版者 | ||||||
出版者 | Springer Japan |