A Precisely Calculated Neutrophil toLymphocyte Ratio could Predict OverallSurvival in Multiple Myeloma Patients

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JALAEIKHOO HASAN; SHARIFZADEH MORTEZA; RAJAEINEJAD MOHSEN; KEYHANI MANOUTCHEHR; ZOKAASADI MOHAMMAD

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Journal: MIDDLE EAST JOURNAL OF CANCER Year:2018 | Volume:9 | Issue:3 Page(s): 223-227

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Title

A Precisely Calculated Neutrophil toLymphocyte Ratio could Predict OverallSurvival in Multiple Myeloma Patients

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Keywords

Multiple myeloma

Neutrophil to lymphocyte ratio

Survival analysis

Prognosis

Abstract

Background: Neutrophil to lymphocyte ratio was initially used as a low costprognostic marker in a group of solid tumors and subsequently hypothesized to havea role in Multiple myeloma. This retrospective analysis aimed to report the prognosticimportance of the Neutrophil to lymphocyte ratio in Multiple myeloma. Methods: Between November 2003 and February 2016, we included 175 patientsfrom two centers in this study. CBC differentials were primarily checked by a Sysmexanalyzer in both centers. In one center, differentials were rechecked by light microscopy. Analysis of survival was performed using a Kaplan-Meier estimate and we assessedthe effects of prognostic factors by Cox proportional hazards model. Results: Patients had a mean age of 63. 22± 10. 89 years. Although mean lymphocytepercent did not differ between the two centers, mean neutrophil percent and meanneutrophil to lymphocyte ratio were higher at the center that manually checked the CBCdifferentials. After adjustments for age and gender, we noted that the hazard ratio forelevated Neutrophil to lymphocyte ratio when stratified for the centers was 1. 07 (95%CI: 1. 01– 1. 15, P=0. 034). Conclusion: A precisely checked Neutrophil to lymphocyte ratio could act as apotentially inexpensive, accessible prognostic factor for Multiple myeloma patients.

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APA: Copy

JALAEIKHOO, HASAN, SHARIFZADEH, MORTEZA, RAJAEINEJAD, MOHSEN, KEYHANI, MANOUTCHEHR, & ZOKAASADI, MOHAMMAD. (2018). A Precisely Calculated Neutrophil toLymphocyte Ratio could Predict OverallSurvival in Multiple Myeloma Patients. MIDDLE EAST JOURNAL OF CANCER, 9(3), 223-227. SID. https://sid.ir/paper/321249/en

Vancouver: Copy

JALAEIKHOO HASAN, SHARIFZADEH MORTEZA, RAJAEINEJAD MOHSEN, KEYHANI MANOUTCHEHR, ZOKAASADI MOHAMMAD. A Precisely Calculated Neutrophil toLymphocyte Ratio could Predict OverallSurvival in Multiple Myeloma Patients. MIDDLE EAST JOURNAL OF CANCER[Internet]. 2018;9(3):223-227. Available from: https://sid.ir/paper/321249/en

IEEE: Copy

HASAN JALAEIKHOO, MORTEZA SHARIFZADEH, MOHSEN RAJAEINEJAD, MANOUTCHEHR KEYHANI, and MOHAMMAD ZOKAASADI, “A Precisely Calculated Neutrophil toLymphocyte Ratio could Predict OverallSurvival in Multiple Myeloma Patients,” MIDDLE EAST JOURNAL OF CANCER, vol. 9, no. 3, pp. 223–227, 2018, [Online]. Available: https://sid.ir/paper/321249/en

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