Prognostic significance of the Gustave Roussy immune (GRIm) score in cancer patients: a meta-analysis

Abstract

Background The prognostic value of the Gustave Roussy immune (GRIm) score in cancer patients has been widely reported but remains inconsistent. The aim of this study is to systematically investigate the relationship between the GRIm score and survival outcomes in cancer patients. Methods Relevant literature was identified using electronic databases including Web of Science, PubMed, and Embase from the inception to March 2023. The primary endpoints were long-term oncological outcomes. Subgroup analysis and sensitivity analysis were conducted during the meta-analysis. Results Fifteen studies (20 cohorts) including 4997 cancer patients were enrolled. The combined results revealed that patients in the high GRIm group had a deteriorated overall survival (HR = 2.07 95%CI: 1.73–2.48; p < 0.0001; I 2 = 62%) and progression-free survival (HR = 1.42; 95%CI: 1.22–1.66; p < 0.0001; I 2 = 36%). The prognostic values of GRIm on overall survival and progression-free survival were observed across various tumour types and tumour stages. Sensitivity analysis supported the stability and reliability of the above results. Conclusion Our evidence suggested that the GRIm score could be a valuable prognostic marker in cancer patients, which can be used by clinicians to stratify patients and formulate individualized treatment plans.

Significance of Nutritional-Inflammatory Index as Predictors for Total Neoadjuvant Therapy-Induced Tumor Regression in Locally Advanced Rectal Cancer Patients

“…10 Additionally, Zhang et al identified cN stage, tumor diameter, and CEA level as predictive factors for the TNT-induced response. 8 Mounting evidence suggests a link between systemic inflammatory response, malnutrition, and treatment sensitivity, as well as prognosis of various gastrointestinal tumors, such as gastric cancer, 11,12 colorectal cancer, 8,13 liver cancer, 14 pancreatic cancer, 15 and gastrointestinal stromal tumor. 16 Therefore, surveillance of the correlation between nutritionalinflammatory index and TNT-induced tumor regression can aid in the early identification of patients who are unlikely to derive benefits from TNT.…”