Key result
A high preoperative ApoB/ApoA1 ratio (≥1) was independently associated with shorter overall survival in patients with gastric cancer.
Why the study?
Does a high preoperative ApoB/ApoA1 ratio predict worse overall survival in patients with gastric cancer undergoing surgery?
Cohort (n=1,201)
No
Does a high preoperative ApoB/ApoA1 ratio predict worse overall survival in patients with gastric cancer undergoing surgery?
A high preoperative ApoB/ApoA1 ratio (≥1) is an independent prognostic factor for shorter overall survival in patients with gastric cancer.
Answers are grounded in this paper and cite their sources.
May inform preoperative risk assessment in gastric cancer; leaves open need for prospective validation before clinical use.
Background: The correlations between lipid profile (lipid molecules and their derivative indexes) and clinical outcome have been widely testified in many carcinomas, but its prognostic value remains unknown in gastric cancer (GC). Our purpose in the study was to comprehensively evaluate the clinical significance of lipid profile in GC. Methods: We retrospectively collected clinical information of 1,201 GC patients who received surgery at Sun Yat-sen University Cancer Center from 2005 to 2010. Kaplan–Meier analysis and Cox proportional hazards regression model were performed to determine its prognostic significance. Results: Lipid profile including cholesterol, triglyceride, high-density lipoprotein-cholesterol (HDL-C), low-density lipoprotein-cholesterol (LDL-C), apolipoprotein A1 (ApoA1), apolipoprotein B (ApoB), LDL-C/HDL-C ratio, and ApoB/ApoA1 ratio were analyzed. For the first time, we found ApoB/ApoA1 ratio showed the biggest prognostic potency among all lipid-related variables and could act as an independent prognostic factor in GC. Patients with a high ApoB/ApoA1 ratio (≥1) had a shorter overall survival (hazard ratio: 1.373, 95% confidence interval: 1.123–1.68; P =0.002). Conclusion: Preoperative serum ApoB/ApoA1 ratio might be used as a novel prognostic indicator of GC.
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Ma et al. (2018) conducted a cohort in Gastric cancer (n=1,201). High preoperative ApoB/ApoA1 ratio (≥1) vs. Low preoperative ApoB/ApoA1 ratio (<1) was evaluated on Overall survival (HR 1.373, 95% CI 1.123-1.68, p=0.002). A high preoperative ApoB/ApoA1 ratio (≥1) was independently associated with shorter overall survival in patients with gastric cancer.
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