Original Article

Prognostic Significance of Hemoglobin/Prognostic Nutritional Index and Hemoglobin/Red Blood Cell Distribution in Rectal Cancer

Volume 34 · Issue 2 Publish Date: December 9, 2022
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Elif Tuğba Tuncel
Department of Gastroenterology Manisa State Hospital Manisa Turkey
Murtaza Parvizi
Department of Radiation Oncology Manisa State Hospital Manisa Turkey
Engin Kut
Department of Medical Oncology Manisa State Hospital Manisa Turkey
Mesut Aydın
Department of Gastroenterology Yüzüncü Yıl University Faculty of Medicine Van Turkey
Elmas Kasap
Department of Gastroenterology Celal Bayar University Faculty of Medicine Manisa Turkey
Tuncel, E. T., Parvizi, M., Kut, E., Aydın, M., & Kasap, E. (2022). Prognostic Significance of Hemoglobin/Prognostic Nutritional Index and Hemoglobin/Red Blood Cell Distribution in Rectal Cancer. Turkish Journal of Gastroenterology, 34(2), 128–134. https://doi.org/ 10.5152/tjg.2022.22203
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Abstract

Background: We aimed to investigate the effect of hemoglobin/prognostic nutritional index and hemoglobin/red blood cell distribution, which are indicators of inflammation and nutrition, on prognosis and survival in patients with rectal cancer. Methods: The retrospective study reviewed medical records of 138 patients with rectal cancer who were followed up between 2010 and 2021. The effects of hemoglobin/red blood cell distribution, hemoglobin/prognostic nutritional index, tumor stage, and lymph node status on survival and prognosis were evaluated using univariate and multivariate analyses. Overall survival and disease-free survival were calculated for both groups. Results: Survival and prognosis were found to be significantly better in nonanemic patients with the hemoglobin/prognostic nutritional index higher than the cut-off value than in anemic patients with a normal or lower hemoglobin/prognostic nutritional index. Similarly, survival and prognosis were found to be significantly better in nonanemic patients with a hemoglobin/red blood cell distribution higher than the cut-off value than in anemic patients with a normal or lower hemoglobin/red blood cell distribution. Conclusion: The results indicated that nutrition and inflammatory markers have independent prognostic significance in rectal cancer. These markers are simple, inexpensive, and useful biomarkers commonly used in clinical practice, and they were found to predict overall survival and disease-free survival independently. Cite this article as: Tuncel ET, Parvizi M, Kut E, Aydın M, Kasap E. Prognostic significance of hemoglobin/prognostic nutritional index and hemoglobin/red blood cell distribution in rectal cancer. Turk J Gastroenterol. 2023;34(2):128-134.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 34 · Issue 2
Pages 128-134
History
Published Online December 9, 2022
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Elif Tuğba Tuncel
Department of Gastroenterology Manisa State Hospital Manisa Turkey
Murtaza Parvizi
Department of Radiation Oncology Manisa State Hospital Manisa Turkey
Engin Kut
Department of Medical Oncology Manisa State Hospital Manisa Turkey
Mesut Aydın
Department of Gastroenterology Yüzüncü Yıl University Faculty of Medicine Van Turkey
Elmas Kasap
Department of Gastroenterology Celal Bayar University Faculty of Medicine Manisa Turkey
Cite this Article
Tuncel, E. T., Parvizi, M., Kut, E., Aydın, M., & Kasap, E. (2022). Prognostic Significance of Hemoglobin/Prognostic Nutritional Index and Hemoglobin/Red Blood Cell Distribution in Rectal Cancer. Turkish Journal of Gastroenterology, 34(2), 128–134. https://doi.org/ 10.5152/tjg.2022.22203
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