PMID- 34823427 OWN - NLM STAT- MEDLINE DCOM- 20220216 LR - 20220429 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) VI - 141 IP - 12 DP - 2021 Dec TI - Decrement of prognostic nutrition index in laryngeal diseases: from precancerous lesion to squamous cell carcinoma. PG - 1070-1074 LID - 10.1080/00016489.2019.1634836 [doi] AB - BACKGROUND: Malnutrition and systemic inflammatory response have been confirmed to be important risk factors for various cancers. OBJECTIVE: To compare pretreatment prognostic nutrition index (PNI) among patients with laryngeal squamous cell carcinoma (LSCC), laryngeal precancerous lesion (LPL) and laryngeal benign lesion (LBL). METHODS: A total of 253 male patients with laryngeal lesions were divided into LBL, LPL with low risk (LPL (l)), LPL with high risk (LPL(h)), LSCC (i), LSCC (ii) and LSCC (iii) groups according to their histopathological findings and the TNM staging system. PNI and other clinical parameters were calculated. Kruskal-Wallis, Mann-Whitney U or Chi-square or Fisher's exact test were used for comparison of different parameters among groups. Logistic regression was performed to estimate the odds ratios (OR) and the corresponding 95% confidence intervals (CI). RESULTS: The PNI in the LSCC group was significantly lower than those of the LBL and LPL groups (p = .013 and p = .004, respectively), and decreased from LPL(l) to LSCC (iii) (from 53.97 +/- 3.69 to 50.02 +/- 4.75). LPL patients with lower PNI values had a higher risk of LSCC, the OR was 0.91 (95% CI: 0.84, 0.97) for a one-unit decrease. CONCLUSIONS: PNI could be a simple and reproducible marker for predicting the severity of laryngeal diseases. FAU - Daquan, Wu AU - Daquan W AUID- ORCID: 0000-0002-2006-9684 AD - Department of Otolaryngology-Head and Neck Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Tian, Wang AU - Tian W AUID- ORCID: 0000-0002-4323-2878 AD - Department of Oncology, The Eighth People's Hospital of Shanghai, Shanghai, China. FAU - Shen, Na AU - Shen N AD - Department of Otolaryngology-Head and Neck Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Danzheng, Liu AU - Danzheng L AD - Department of Otolaryngology-Head and Neck Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Xinsheng, Huang AU - Xinsheng H AUID- ORCID: 0000-0002-3781-8960 AD - Department of Otolaryngology-Head and Neck Surgery, Zhongshan Hospital, Fudan University, Shanghai, China. LA - eng PT - Comparative Study PT - Journal Article DEP - 20211126 PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 SB - IM MH - Carcinoma, Squamous Cell/*pathology MH - Chi-Square Distribution MH - Humans MH - Laryngeal Diseases/*pathology MH - Laryngeal Neoplasms/*pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - *Nutrition Assessment MH - Patient Acuity MH - Precancerous Conditions/*pathology MH - Prognosis MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck/pathology MH - Statistics, Nonparametric OTO - NOTNLM OT - Prognostic nutrition index OT - laryngeal precancerous lesion OT - laryngeal squamous cell carcinoma EDAT- 2021/11/27 06:00 MHDA- 2022/02/17 06:00 CRDT- 2021/11/26 05:30 PHST- 2021/11/27 06:00 [pubmed] PHST- 2022/02/17 06:00 [medline] PHST- 2021/11/26 05:30 [entrez] AID - 10.1080/00016489.2019.1634836 [doi] PST - ppublish SO - Acta Otolaryngol. 2021 Dec;141(12):1070-1074. doi: 10.1080/00016489.2019.1634836. Epub 2021 Nov 26.