Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jul-Aug;35(4):2349-2355.
doi: 10.21873/invivo.12511.

Role of the Prognostic Nutritional Index in Patients With Soft-tissue Sarcoma

Affiliations

Role of the Prognostic Nutritional Index in Patients With Soft-tissue Sarcoma

Yumi Matsuyama et al. In Vivo. 2021 Jul-Aug.

Abstract

Background: This study aimed to determine whether the prognostic nutritional index (PNI) can predict the prognosis in patients with soft-tissue sarcoma (STS) before treatment and to examine whether there is an association between PNI values and clinical characteristics.

Patients and methods: The data on 100 patients with primary STS were retrospectively reviewed. The cohort included 55 men and 45 women, with a mean age of 64 years. The mean follow-up duration was 41.7 months.

Results: The median PNI was 51.35. The PNI was significantly inversely associated with tumor size, tumor grade, and age. We found that the PNI was a significant prognostic marker for disease-specific and event-free survival using univariate and multivariate analyses. Patients with a low PNI had poorer disease-specific and event-free survival than those with a high PNI.

Conclusion: These results suggest that the PNI can be used as a prognostic marker in patients with STS.

Keywords: Prognostic nutritional index; soft tissue sarcoma; survival..

PubMed Disclaimer

Conflict of interest statement

There were no conflicts of interest in this study.

Figures

Figure 1
Figure 1. Kaplan-Meier curve showing the disease-specific survival for 100 patients with soft-tissue sarcoma according to prognostic nutritional index (PNI) using a cut-off of 51.35.
Figure 2
Figure 2. Kaplan-Meier curve showing the disease-specific survival for 74 patients with soft-tissue sarcoma, after exclusion of those with welldifferentiated liposarcoma, according to prognostic nutritional index (PNI) using a cut-off of 51.35.
Figure 3
Figure 3. Kaplan-Meier curve showing the event-free survival for 100 patients with soft-tissue sarcoma according to prognostic nutritional index (PNI) using a cut-off of 51.35.
Figure 4
Figure 4. Kaplan-Meier curve showing the event-free survival for 74 patients with soft-tissue sarcoma, after exclusion of those with welldifferentiated liposarcoma, according to prognostic nutritional index (PNI) using a cut-off of 51.35.

References

    1. Bourcier K, Le Cesne A, Tselikas L, Adam J, Mir O, Honore C, de Baere T. Basic knowledge in soft tissue sarcoma. Cardiovasc Intervent Radiol. 2019;42(9):1255–1261. doi: 10.1007/s00270-019-02259-w. - DOI - PubMed
    1. Sasaki H, Nagano S, Komiya S, Taniguchi N, Setoguchi T. Validation of different nutritional assessment tools in predicting prognosis of patients with soft tissue spindle-cell sarcomas. Nutrients. 2018;10(6):765. doi: 10.3390/nu10060765. - DOI - PMC - PubMed
    1. Ogura K, Higashi T, Kawai A. Statistics of soft-tissue sarcoma in Japan: Report from the Bone and Soft Tissue Tumor Registry in Japan. J Orthop Sci. 2017;22(4):755–764. doi: 10.1016/j.jos.2017.03.017. - DOI - PubMed
    1. Stojadinovic A, Leung DH, Hoos A, Jaques DP, Lewis JJ, Brennan MF. Analysis of the prognostic significance of microscopic margins in 2,084 localized primary adult soft tissue sarcomas. Ann Surg. 2002;235(3):424–434. doi: 10.1097/00000658-200203000-00015. - DOI - PMC - PubMed
    1. Nakamura T, Grimer R, Gaston C, Carter S, Tillman R, Abudu A, Jeys L, Sudo A. The relationship between pretreatment anaemia and survival in patients with adult soft tissue sarcoma. J Orthop Sci. 2013;18(6):987–993. doi: 10.1007/s00776-013-0454-6. - DOI - PubMed