Lactic dehydrogenase to albumin ratio in prediction of unresectable pancreatic cancer with intervention chemotherapy

Future Oncol. 2018 Jun;14(14):1377-1386. doi: 10.2217/fon-2017-0556. Epub 2018 May 31.

Abstract

Aim: To validate the prognostic value of lactic dehydrogenase to albumin ratio (LAR) in patients with unresectable pancreatic cancer treated by intervention chemotherapy.

Materials & methods: There were 139 patients retrospectively analyzed in this study. The survival was depicted with Kaplan-Meier curves and calculated by log-rank test. We used Cox proportional hazards regression model with univariate and multivariate analyses, and integrated all independent risk factors to establish the nomogram.

Results: Patient with higher LAR group had poorer overall survival (OS). The Tumor, Node, Metastasis stage, carcinoembryonic antigen and LAR have been shown to be independent prognostic indicators for OS. The nomogram indicated superior predictive accuracy for OS.

Conclusion: The preoperative LAR can be a prognostic indicator for unresectable pancreatic cancer patients with interventional therapy.

Keywords: lactic dehydrogenase to albumin ratio; nomogram; prognosis; unresectable pancreatic cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents / therapeutic use*
  • Carcinoembryonic Antigen / blood
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • L-Lactate Dehydrogenase / blood*
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Nomograms
  • Palliative Care / methods
  • Pancreatic Neoplasms / blood*
  • Pancreatic Neoplasms / drug therapy
  • Pancreatic Neoplasms / mortality
  • Pancreatic Neoplasms / pathology
  • Preoperative Period
  • Prognosis
  • Retrospective Studies
  • Serum Albumin / analysis*
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Carcinoembryonic Antigen
  • Serum Albumin
  • L-Lactate Dehydrogenase