Prognostic significance of systemic immunoinflammatory biomarkers and pathological features in clear cell renal cell carcinoma: a multicenter study.
Zhenduo Yu, Junfeng Yang, Xinyang Lv et al.
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In 30 seconds
This multicenter retrospective study evaluated systemic immunoinflammatory biomarkers and pathological features to develop a prognostic model for overall survival (OS) in clear cell renal cell carcinoma (ccRCC). Among 1,635 patients, ISUP grade, tumor necrosis, platelet count, recurrence/metastasis status, and systemic inflammation response index (SIRI) were independently associated with OS. The nomogram achieved C-indices of 0.849 and 0.869.
Key findings
- ISUP grade, tumor necrosis, and platelet count were independently associated with overall survival.
- The nomogram demonstrated C-indices of 0.849 in the training cohort and 0.869 in the internal testing cohort.
- 1-, 3-, and 5-year AUCs ranged from 0.829 to 0.897, indicating strong predictive performance.
- Risk stratification identified groups with significantly different survival outcomes (p < 0.001).
Why it matters
Understanding the prognostic significance of immunoinflammatory biomarkers and pathological features can help clinicians better predict outcomes in ccRCC patients, potentially guiding treatment decisions and follow-up strategies.