PMID- 31178950 OWN - NLM STAT- MEDLINE DCOM- 20200127 LR - 20220408 IS - 1942-0994 (Electronic) IS - 1942-0900 (Print) IS - 1942-0994 (Linking) VI - 2019 DP - 2019 TI - Pretreatment Serum Uric Acid as an Efficient Predictor of Prognosis in Men with Laryngeal Squamous Cell Cancer: A Retrospective Cohort Study. PG - 1821969 LID - 10.1155/2019/1821969 [doi] LID - 1821969 AB - PURPOSE: Uric acid (UA) is a major antioxidant molecule that has been hypothesized to have a protective effect against cancer-induced oxidative damage. The aim of the present study was to investigate whether preoperative levels of serum UA are associated with the prognosis of laryngeal squamous cell cancer (LSCC). METHODS: A total of 814 male LSCC patients (followed up for five years) and 814 normal control subjects were enrolled from January 2007 to December 2011. The rates of total mortality and cancer mortality were 23.46% and 21.36%, respectively. The prevalence of overall survival (OS), disease-free survival (DFS), and cancer-specific survival (CSS) was analysed using the Kaplan-Meier method. Univariate and multivariate Cox regression models were evaluated to identify UA as a prognostic factor. RESULTS: The serum UA and UA/Cr (creatinine) ratio levels were significantly reduced (P < 0.001 for both) in the LSCC group compared with the control group. The applied multivariate Cox regression model analysis found that low levels of UA and the UA/Cr ratio were independent poor prognostic factors for OS (UA (HR (95% CI) = 1.458 (1.095-1.942)), UA/Cr ratio (HR (95% CI) = 1.337 (1.004-1.780))), DFS (UA (HR (95% CI) = 1.504 (1.131-2.001)), UA/Cr ratio (HR (95% CI) = 1.376 (1.030-1.839))), and CSS (UA (HR (95% CI) = 1.494 (1.109-2.012)), UA/Cr ratio (HR (95% CI) = 1.420 (1.049-1.923))). The patients with high UA (>0.310 mmol/l) and UA/Cr ratio (>3.97) experienced five more years of OS, DFS, and CSS than did patients with low UA (<0.310 mmol/l) and UA/Cr ratio (<3.97) levels. CONCLUSION: High preoperative UA serum levels were identified as an independent prognostic factor associated with improved clinical outcomes among LSCC patients. FAU - Hsueh, Chi-Yao AU - Hsueh CY AUID- ORCID: 0000-0002-9679-7098 AD - Department of Otolaryngology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Shao, Mingxi AU - Shao M AUID- ORCID: 0000-0002-2189-458X AD - Department of Clinical Laboratory, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Cao, Wenjun AU - Cao W AUID- ORCID: 0000-0002-2355-2970 AD - Department of Clinical Laboratory, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Li, Shengjie AU - Li S AUID- ORCID: 0000-0002-6443-740X AD - Department of Clinical Laboratory, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Zhou, Liang AU - Zhou L AUID- ORCID: 0000-0002-8588-2959 AD - Department of Otolaryngology, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China. AD - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai Medical College, Fudan University, Shanghai, China. LA - eng PT - Journal Article DEP - 20190416 PL - United States TA - Oxid Med Cell Longev JT - Oxidative medicine and cellular longevity JID - 101479826 RN - 268B43MJ25 (Uric Acid) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*blood/*diagnosis/pathology MH - Cohort Studies MH - Humans MH - Laryngeal Neoplasms/*blood/*diagnosis/pathology MH - Male MH - Middle Aged MH - Prognosis MH - Retrospective Studies MH - Uric Acid/*blood PMC - PMC6501142 EDAT- 2019/06/11 06:00 MHDA- 2020/01/28 06:00 PMCR- 2019/04/16 CRDT- 2019/06/11 06:00 PHST- 2018/12/16 00:00 [received] PHST- 2019/02/18 00:00 [revised] PHST- 2019/03/07 00:00 [accepted] PHST- 2019/06/11 06:00 [entrez] PHST- 2019/06/11 06:00 [pubmed] PHST- 2020/01/28 06:00 [medline] PHST- 2019/04/16 00:00 [pmc-release] AID - 10.1155/2019/1821969 [doi] PST - epublish SO - Oxid Med Cell Longev. 2019 Apr 16;2019:1821969. doi: 10.1155/2019/1821969. eCollection 2019.