Abstract
Objective: This study aims to evaluate the impact and potential prognostic roles of the pre-and post-treatment Glasgow prognostic score (GPS) and the change thereof in patients with advanced head and neck cancer undergoing concurrent chemoradiotherapy (CCRT). Methods: We collected GPS and clinicopathological data of 139 stage III, IVA, and IVB head and neck cancer patients who underwent CCRT between 2008 and 2011. Their GPSs pre-and post-CCRT and the change thereof were analyzed for correlations with recurrence and survival. Results: The GPS changed in 72 (51.8%) patients, with worse scores observed post-CCRT in 65 (90.3%) of the GPS changed patients. Patients in the improved GPS group showed a tendency toward better survival. From the multivariate analysis, the post-CCRT GPS level was an independent prognostic factor in addition to tumor stage. Conclusions: After CCRT, a high GPS was revealed to be an important predictor of survival for advanced head and neck cancer.
Original language | English |
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Pages (from-to) | 172-178 |
Number of pages | 7 |
Journal | Chinese Journal of Cancer Research |
Volume | 29 |
Issue number | 3 |
DOIs | |
State | Published - 06 2017 |
Bibliographical note
Publisher Copyright:© Chinese Journal of Cancer Research. All rights reserved.
Keywords
- Cachexia
- Chemoradiation
- Glasgow prognostic score (GPS)
- Head and neck cancer
- Inflammation
- Nutrition