Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis

BackgroundThe prognostic significance of the Naples prognostic score (NPS) in colorectal cancer remains uncertain. This study aims to investigate the correlation between the pretreatment NPS and long-term oncological outcomes in patients with colorectal cancer.MethodsA comprehensive literature searc...

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Main Authors: Hui Liu, Dailiang Zhu, Dequan Jiang, Huayang Pang, Xiaolian Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1498854/full
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author Hui Liu
Dailiang Zhu
Dequan Jiang
Huayang Pang
Xiaolian Yang
author_facet Hui Liu
Dailiang Zhu
Dequan Jiang
Huayang Pang
Xiaolian Yang
author_sort Hui Liu
collection DOAJ
description BackgroundThe prognostic significance of the Naples prognostic score (NPS) in colorectal cancer remains uncertain. This study aims to investigate the correlation between the pretreatment NPS and long-term oncological outcomes in patients with colorectal cancer.MethodsA comprehensive literature search of electronic databases, including PubMed, Embase, and Web of Science, was conducted up to July 1st, 2024. The primary outcomes assessed were survival outcomes. Subgroup analysis and sensitivity analysis were performed during the pooled analysis.ResultsEight studies including 2571 patients were included. The pooled results indicated that patients in the high NPS group exhibited significantly worse overall survival (HR= 2.08 95%CI: 1.74-2.48; P<0.01; I2 = 0%) and disease-free survival (HR=2.03; 95%CI: 1.49-2.77; P<0.01; I2 = 30%). Notably, the prognostic significance of NPS on both overall survival and disease-free survival was consistent across different geographical regions, tumor stages, and primary treatments examined in this study. Furthermore, sensitivity analyses confirmed the robustness of these combined results.ConclusionThe pretreatment NPS could serve as a valuable biomarker for predicting long-term oncological outcomes in patients diagnosed with colorectal cancer.
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spelling doaj-art-88f379d43a344597a68aae06b0b04ce72025-01-07T05:24:08ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-01-011410.3389/fonc.2024.14988541498854Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysisHui Liu0Dailiang Zhu1Dequan Jiang2Huayang Pang3Xiaolian Yang4Department of Gastrointestinal Surgery, Chongqing University Jiangjin Hospital, Chongqing, ChinaDepartment of Anorectal Surgery, Chongqing University Jiangjin Hospital, Chongqing, ChinaDepartment of Gastrointestinal Surgery, Chongqing University Jiangjin Hospital, Chongqing, ChinaDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Anorectal Surgery, Chongqing University Jiangjin Hospital, Chongqing, ChinaBackgroundThe prognostic significance of the Naples prognostic score (NPS) in colorectal cancer remains uncertain. This study aims to investigate the correlation between the pretreatment NPS and long-term oncological outcomes in patients with colorectal cancer.MethodsA comprehensive literature search of electronic databases, including PubMed, Embase, and Web of Science, was conducted up to July 1st, 2024. The primary outcomes assessed were survival outcomes. Subgroup analysis and sensitivity analysis were performed during the pooled analysis.ResultsEight studies including 2571 patients were included. The pooled results indicated that patients in the high NPS group exhibited significantly worse overall survival (HR= 2.08 95%CI: 1.74-2.48; P<0.01; I2 = 0%) and disease-free survival (HR=2.03; 95%CI: 1.49-2.77; P<0.01; I2 = 30%). Notably, the prognostic significance of NPS on both overall survival and disease-free survival was consistent across different geographical regions, tumor stages, and primary treatments examined in this study. Furthermore, sensitivity analyses confirmed the robustness of these combined results.ConclusionThe pretreatment NPS could serve as a valuable biomarker for predicting long-term oncological outcomes in patients diagnosed with colorectal cancer.https://www.frontiersin.org/articles/10.3389/fonc.2024.1498854/fullcolorectal cancernaples prognostic scoreoverall survivaldisease-free survivalmeta-analysis
spellingShingle Hui Liu
Dailiang Zhu
Dequan Jiang
Huayang Pang
Xiaolian Yang
Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis
Frontiers in Oncology
colorectal cancer
naples prognostic score
overall survival
disease-free survival
meta-analysis
title Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis
title_full Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis
title_fullStr Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis
title_full_unstemmed Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis
title_short Prognostic value of the pretreatment Naples prognostic score in patients with colorectal cancer: a systematic review and meta-analysis
title_sort prognostic value of the pretreatment naples prognostic score in patients with colorectal cancer a systematic review and meta analysis
topic colorectal cancer
naples prognostic score
overall survival
disease-free survival
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1498854/full
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