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. 2022 Apr 16:2022:7971415.
doi: 10.1155/2022/7971415. eCollection 2022.

Value Research of NLR, PLR, and RDW in Prognostic Assessment of Patients with Colorectal Cancer

Wanchen Chen  1 , Shen Xin  1 , Baohong Xu  1
Affiliations

Value Research of NLR, PLR, and RDW in Prognostic Assessment of Patients with Colorectal Cancer

Wanchen Chen et al. J Healthc Eng. .

Abstract

Objective: This study aimed to investigate the relevance of the study with the neutrophil count and lymphocyte count ratio (NLR), platelet count and lymphocyte count ratio (PLR), and red blood cell distribution width (RDW) in the prognostic evaluation of colorectal cancer patients.

Methods: 143 patients with colorectal cancer from January 2016 to January 2019 were selected by our hospital, and then, other 143 cases of physical examiners as normal groups were selecting to proceed colonoscopic biopsy to diagnose 106 cases of precancerous diseases related to colorectal cancer. Among them were the inflammatory bowel group (n = 56) and the colorectal polyp group (n = 50). Analysis of the survival impact factors of patients with carcinoma of the rectum, preoperative NLR, ROW, PLR, and prognostic relationship, and comparison of NLR, PLR, and RDW diagnostic rate and expression were performed.

Results: Tissue type, TNM stage, lymph node metastasis, NLR, RDW, and PLR had a predictive influence on patients with colorectal cancer (P0.05). There was no link between gender, age, aetiology, pathological type, and prognosis in patients with colorectal cancer (P > 0.05). Multiple variables in patients with colorectal cancer are affected by tissue categorization (poor differentiation), TNM stages (III, IV), lymph node metastases, NLR, ROW, and PLR (P0.05). When compared to solo NLR, Row, and PLR diagnostics, the combination diagnosis and malignancy rates were greater, and the differences were statistically significant (P0.05). Diagnostic sensitivity, specificity, and accuracy were greater when compared to single NLR, ROW, and PLR. When compared to the normal control group, NLR, ROW, and PLR have greater levels, and the differences are statistically significant (P0.05). The patient survival declines more slowly as PLR, NLR, and the severity of the condition rises.

Conclusion: NLR, ROW, and PLR combined diagnosis has high accuracy in colorectal cancer diagnosis, and the prognosis of patients with NLR, ROW, and PLR levels has a tight association; so, clinically, the above signs should be identified, and the optimal treatment time is grasped.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Comparison of NLR, ROW, and PLR diagnosis in positive rate and malignancy.
Figure 2
Figure 2
Comparison of NLR, Row, and PLR diagnostic sensitivity, specificity, and accuracy.
Figure 3
Figure 3
Comparison of NLR, ROW, and PLR expressions in each group.
Figure 4
Figure 4
Preoperative NLR, ROW, PLR, and prognosis relationship.
See this image and copyright information in PMC

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