ONCOmmunity

Prognostic Impact of Preoperative Albumin-to-Globulin Ratio in Patients with Colon Cancer Undergoing Surgery with Curative Intent.

By: Hiroyuki Fujikawa, Yuji Toiyama, Yasuhiro Inoue, Hiroki Imaoka, Tadanobu Shimura, Masato Okigami, Hiromi Yasuda, Junichiro Hiro, Shigeyuki Yoshiyama, Susumu Saigusa, Minako Kobayashi, Masaki Ohi, Toshimitsu Araki, Yasuhiko Mohri, Masato Kusunoki

Department of Gastrointestinal and Pediatric Surgery, Division of Reparative Medicine, Institute of Life Sciences, Mie University Graduate School of Medicine, Tsu, Japan f0609@clin.medic.mie-u.ac.jp.
2016-12-15; doi:

Abstract

Aim

To identify predictors of poor prognosis of patients with colon cancer (CC) who underwent surgery with curative intent, we investigated the association between the albumin to globulin ratio (AGR) with clinicopathological findings such as overall (OS) and disease-free (DFS) survival.

Patients

We conducted a retrospective study of clinicopathological findings, including preoperative laboratory data, for 248 patients with stage I-III CC.

Results

Patients with low AGR had shorter DFS and OS compared to those with high AGR. Multivariate analyses identified low AGR as an independent variable independently associated with recurrence and poor prognosis of patients with CC who underwent surgery with curative intent regardless of lymphnode metastasis.

Conclusion

The preoperative AGR was an independent predictor of recurrence and poor prognosis of patients with CC who underwent surgery with curative intent. The AGR indicates that these patients may benefit from intensive adjuvant therapy.