Utility of modified Glasgow prognostic score for head and neck squamous cell carcinoma: Systematic review and meta-analysis

Chih Wei Luan, Liang Tseng Kuo, Yun Ting Wang, Chun Ta Liao, Chung Jan Kang, Yi Chan Lee, Kuan Yin Chen, Chia Hsuan Lai, Yuan Hsiung Tsai, Ethan I. Huang, Ming Shao Tsai, Cheng Ming Hsu, Geng He Chang, Yao Te Tsai*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Whether the modified Glasgow prognostic score (mGPS) is useful for patients with head and neck squamous cell carcinoma (HNSCC) remains controversial. An electronic database search on EMBASE, PubMed, and the Cochrane Library from inception to 30 June 2022 was performed for study selection and data extraction. The associations between the mGPS and survival outcomes were evaluated using a random-effects meta-analysis and expressed as pooled hazard ratios (HRs) and 95% CIs. We included 11 studies involving a total of 2017 patients with HNSCC. A higher mGPS was associated with poorer progression-free survival (HR = 2.39, 95% CI 1.69–3.38), overall survival (HR = 2.40, 95% CI 1.94–2.98), disease-specific survival (HR = 2.57, 95% CI 1.71–3.88), and disease-free survival (HR = 2.67, 95% CI 1.51–4.73, all p ≤ 0.001) in HNSCC. The mGPS can function as a valid prognostic biomarker for patients diagnosed as having HNSCC.

Original languageEnglish
Pages (from-to)1856-1867
Number of pages12
JournalHead and Neck
Volume45
Issue number7
DOIs
StatePublished - 07 2023

Bibliographical note

© 2023 Wiley Periodicals LLC.

Keywords

  • head and neck cancer
  • meta-analysis
  • modified Glasgow prognostic score
  • squamous cell carcinoma
  • survival outcome
  • Disease-Free Survival
  • Squamous Cell Carcinoma of Head and Neck
  • Prognosis
  • Humans
  • Proportional Hazards Models
  • Head and Neck Neoplasms/therapy

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