Preoperative White Blood Cell-Related Indicators Can Predict the Prognosis of Patients with Transurethral Resection of Bladder Cancer

Abstract

Introduction Numerous studies, including bladder cancer (BLCA), have confirmed the relationship between conventional systemic inflammatory biomarkers and the prognosis of tumors. Leukocytes, as the most common factor in inflammatory indicators, have been reported to predict prognosis in other tumors. However, we have not seen this research in BLCA. Therefore, we aim to find new blood markers to predict the prognosis of patients with transurethral resection of bladder tumor (TURBT). Methods Two cohorts from the two different hospitals were used for the specific study. The best cutoff values of leukocytes-related indicators were determined according to the ROC curve. Univariate and multivariate Cox regression analysis were used to explore the impact of indicators and clinical features on prognosis for patients with TURBT. The KM curve was used to show the impact of indicators on the prognosis. According to the consequence of multivariate method, a risk model was established to evaluate the prognosis of patients with bladder cancer. Results The white blood cell-to-lymphocyte ratio (WLR), the white blood cell-to-hemoglobin ratio (WHR), the white blood cell-to-neutrophil ratio (WNR), the white blood cell-to-monocyte ratio (WMR) and the white blood cell-to-erythrocyte ratio (WRR) are related to the prognosis of BLCA. The new risk model consisted of WHR, WMR and platelet-to-lymphocyte ratio (PLR), and patients with TURBT in the high-risk group had a worse prognosis. Conclusions Leukocyte-related preoperative indicators could predict the prognosis of the patients with TURBT and provided some guidance for clinical workers.

Establishment of a prognostic nomogram for elderly patients with limited-stage small cell lung cancer receiving radiotherapy

“…LMR and WMR, as systemic inflammatory response markers are often linked with cancer prognosis, with low levels of LMR and WMR expression correlating with a poor outcome for patients with bladder cancer (BLCA) 21 , which is in line with the findings of our study. The PNI is an index used to assess nutritional status, which is based on both albumin levels and lymphocyte counts.…”

“…Several studies have demonstrated that these markers, including neutrophil-to-lymphocyte ratio (NLR), platelets-to-lymphocyte ratio (PLR) and lymphocyte-to-monocyte ratio (LMR), are significantly correlated with prognosis in patients with resectable lung cancer 18 , locally advanced colorectal cancer 19 , non-muscular invasive bladder cancer 20 and other cancers. Moreover, other inflammatory markers that combine WBC, such as WLR, WHR, WNR, WMR, and WRR, have also been investigated to establish their association with bladder cancer prognosis 21 . However, there is a paucity of research on using these inflammatory markers in senior LS-SCLC patients.…”

A novel risk model based on white blood cell-related biomarkers for acute kidney injury prediction in patients with ischemic stroke admitted to the intensive care unit

“…However, whether these WBC-related biomarkers could predict AKI in patients with IS admitted to ICU has been unexplored. Gao et al previously reported that preoperative WBC to hemoglobin ratio (WHR), WBC to monocyte ratio (WMR), and platelet to lymphocyte ratio (PLR) associated with the prognosis of bladder cancer, and a risk model established based on WHR, WMR, and PLR showed good prognosis-predictive performance ( 33 ). In line with the previously reported ( 33 ), in this study, WLR, WBR, WHR, and NLR were independent prognostic predictors of AKI, and then WLR, WBR, WHR, and NLR were combined to construct a novel risk model.…”

Prognostic Value of Leukocyte-Based Risk Model for Acute Kidney Injury Prediction in Critically Ill Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients

“…9 White blood cells (WBCs)-related indicators are easily obtained to predict AKI which has been used in different diseased setting. 10,11 However, whether WBC-based risk model could predict AKI and clinical outcomes in critically ill AECOPD patients has not been explored. The present study aimed to demonstrate the incidence of AKI and construct a risk model-based on WBC indicators for AKI prediction in critically ill AECOPD patients.…”

“…According to a recent study by Gao et al, preoperative WHR, WMR, and PLR are related to the prognosis of bladder cancer. Based on these data, a risk model was 10 Another study looked into the use of WBCrelated indicators to predict AKI in patients with critically sick ischemic strokes, the findings showed that a risk model based on WLR, WBR, WHR, and NLR performed well in predicting AKI in these patients. 11 Consistent with previous research results, our results manifested that the novel risk model, which integrated WBC-related indicators WBR, WHR, NLR and SII, exhibited excellent predictive performance of AKI as well as acute respiratory failure, ICU mortality, and in-hospital mortality.…”