Impact of prognostic nutritional index on terminal cancer patients

Abstract

Background: In terminal cancer patients (TCPs), one of the most important things is to define the survival to help the main responsible physicians, patients, and main caregivers make decisions, set goals, and work across the end-of-life strategies. Patients and Methods: We retrospectively reviewed the medical files of TCPs, who died during September 2011 and December 2017, to recognize the correlation between prognostic nutritional indices (PNIs) and survival in those subtypes of patients. The receiver operating characteristic (ROC) curve was used to identify the cutoff value of PNI. Results: A total of 858 TCPs were eligible and included, the median age was 62 years (range: 18–107). The most common primary cancer sites were colorectal cancer in 151 patients (17.6%), hepatobiliary in 129 (15%), lung cancer in 115 (13.4%), breast cancer in 114 (13.3%), and genitourinary in 80 (9.3%). The mean value of PNI for all cancer types was 32.9 ± 6.7. The values showed different levels across cancer types. For patients who lived >2 weeks, PNI was 36.7 compared with that who died within 2 weeks was 29.3, which was a statistically significant ( P < 0.001). By the ROC curve, the cutoff value of PNI was 32.3 and area under the curve was 0.888. The sensitivity, specificity, positive predictive value, and negative predictive value were 91.28% (95% confidence interval [CI]: 88.2–93.8), 71.09% (95% CI: 66.5–75.4), 76.5% (95% CI: 73.7–79.2), and 88.8% (95% CI: 85.3–91.5), respectively. Conclusion: The PNI is an easy and an applicable biomarker to estimate life expectancy in TCPs.

Isolation and Diagnosis of the Bacterium Pectobacterium Caratovorium, the Causative Agent of Soft Rot Disease on Potatoes, Macroscopically and Biochemically

“…Although there are no accurate statistics on the losses caused by these diseases, global statistics indicate that at least 30-40% of the total global losses caused by pathogens, which amount to $200 billion annually worldwide [8][9][10]. One of the most important diseases that affect the potato crop is soft rot disease caused by the bacterium Pectobacterium carotovorum [7,11,12] Given the importance of soft rot disease on potatoes and the economic losses it causes, this study aimed to isolate the bacterium Pectobacterium spp. that causes soft rot disease, test its pathogenicity, and diagnose it macroscopically and biochemically to the species level.…”

Utility of palliative prognostic index and neutrophil‐to‐lymphocyte ratio in predicting prognosis of end‐stage squamous cell carcinoma of head and neck

“…8 The neutrophilto-lymphocyte ratio (NLR) uses the ratio of neutrophils to lymphocytes in the blood to evaluate inflammation and immunity. 9 GPS, 10,11 PNI, [12][13][14] and NLR 15,16 have been validated in various carcinomas and are reportedly useful prognostic indicators for terminal malignancies.…”