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. 2023 Jul 13;11(7):1983. doi: 10.3390/biomedicines11071983

Table 4.

Summary of the included studies.

Author Summary of the Included Studies
Oshima [20]
  • A total of 49 patients with resectable or borderline resectable PDAC after NACRT were included.

  • A cut-off value of 0.077 for CAR was determined.

  • The group with CAR > 0.077 lost more body weight during NACRT (p = 0.03).

  • Higher CAR was associated with significantly shorter overall survival.

Wijk [21]
  • A total of 163 patients with resected PDAC were included.

  • A cut-off value of 0.2 for CAR was determined.

  • CAR ≥ 0.2 was associated with decreased overall survival (16 vs. 26 months, p = 0.003).

  • Higher CAR was an independent indicator of decreased overall survival.

Murakawa [22]
  • A total of 117 patients with resectable PDAC were included who had radiacal surgery with S1 adjuvant chemotherapy.

  • A cut-off value of 0.036 for CAR was determined.

  • The 5-year overall survival (OS) rates in the high- and low-ratio groups were 22.5% and 36.4%, respectively (p = 0.0089).

  • The 5-year disease-free survival rates in the high- and low-ratio groups were 12.5% and 22.1%, respectively (p = 0.0097).

  • Higher CAR was an independent prognostic factor of overall survival.

Vujic [23]
  • A total of 202 patients with resected PDAC were included.

  • A cut-off value of 0.0003 for CAR was determined.

  • CAR was an independent prognostic factor of overall survival in univariate and multivariate Cox regression analysis.

  • Elevated CAR was associated with a higher median value of the Charlson Index, a higher Union for International Cancer Control) classification and increased carcinoembryonic antigen levels.

Ikuta [24]
  • A total of 136 patients with resected PDAC were included.

  • A cut-off value of 0.09 for CAR was determined.

  • High CAR was an independent predictor of poor overall survival (p = 0.03).

Ikeguchi [25]
  • A total of 43 patients with resected PDAC were included.

  • A cut-off value of 0.04 for CAR was determined.

  • High CAR was strong preoperative marker of poor prognosis independently of tumor stage.

Wu [26]
  • A total of 233 patients with PDAC were included with an unspecified proportion of resectable disease.

  • A cut-off value of pre-treatment (surgical or chemotherapy) 0.54 for CAR was determined.

  • CAR was identified as the only inflammation-based parameter with an independent prognostic ability in the multivariate analyses (p < 0.001).

Haruki [27]
  • A total of 113 patients with resected PDAC were included.

  • A cut-off value of 0.03 for CAR was determined.

  • Higher CAR (p = 0.023) was an independent and significant predictor of poor patient outcome.

Abbreviations: PDAC, pancreatic ductal adenocarcinoma; NACRT, Neoadjuvant chemoradiotherapy; CAR, C-reactive protein to albumin ratio.