Research Article

A Novel Inflammatory and Nutritional Prognostic Scoring System for Nonpathological Complete Response Breast Cancer Patients Undergoing Neoadjuvant Chemotherapy

Table 1

Clinical and pathological characteristics divided by OS-INPS.

Variables

Age (median (IQR))49.00(42.00-57.00)49.00(42.00-57.00)47.00 (42.75-56.25)0.507
Age0.392
  ≤ 49132 (53.0)99 (51.3)33 (58.9)
  > 49117 (47.0)94 (48.7)23 (41.1)
Position1
 Left140 (56.2)109 (56.5)31 (55.4)
 Right109 (43.8)84 (43.5)25 (44.6)
Menopause0.083
 No137 (55.0)100 (51.8)37 (66.1)
 Yes112 (45.0)93 (48.2)19 (33.9)
Parturition0.164
 031 (12.4)20 (10.4)11 (19.6)
 1156 (62.7)125 (64.8)31 (55.4)
  ≥ 262 (24.9)48 (24.9)14 (25.0)
Clinical T stage0.019
 122 (8.8)16 (8.3)6 (10.7)
 2175 (70.3)143 (74.1)32 (57.1)
 348 (19.3)33 (17.1)15 (26.8)
 44 (1.6)1 (0.5)3 (5.4)
Clinical N stage0.815
 08 (3.2)6 (3.1)2 (3.6)
 128 (11.2)22 (11.4)6 (10.7)
 2153 (61.4)116 (60.1)37 (66.1)
 360 (24.1)49 (25.4)11 (19.6)
Clinical TNM stage0.752
 II32 (12.9)26 (13.5)6 (10.7)
 III217 (87.1)167 (86.5)50 (89.3)
Molecular subtype0.302
 Luminal A39 (15.7)33 (17.1)6 (10.7)
 Luminal B117 (47.0)86 (44.6)31 (55.4)
 HER-2 OE50 (20.1)42 (21.8)8 (14.3)
 TNBC43 (17.3)32 (16.6)11 (19.6)
ER0.632
 Negative98 (39.4)78 (40.4)20 (35.7)
 Positive151 (60.6)115 (59.6)36 (64.3)
PR0.206
 Negative123 (49.4)100 (51.8)23 (41.1)
 Positive126 (50.6)93 (48.2)33 (58.9)
HER-20.059
 Negative99 (39.8)80 (41.5)19 (33.9)
 Low expression75 (30.1)51 (26.4)24 (42.9)
 Positive75 (30.1)62 (32.1)13 (23.2)
Ki-670.020
 <20%107 (43.0)91 (47.2)16 (28.6)
  ≥ 20%142 (57.0)102 (52.8)40 (71.4)
P530.129
 Negative182 (73.1)146 (75.6)36 (64.3)
 Positive67 (26.9)47 (24.4)20 (35.7)
Cycle0.808
  ≤ 4148 (59.4)116 (60.1)32 (57.1)
 >4101 (40.6)77 (39.9)24 (42.9)
L (median (IQR))1.92 (1.60-2.45)2.15 (1.75-2.62)1.56 (1.37-1.80)<0.001
N (median (IQR))3.78 (3.00-4.73)3.42 (2.86-4.21)5.06 (4.51-6.07)<0.001
M (median (IQR))0.41 (0.34-0.52)0.39 (0.31-0.50)0.47 (0.40-0.57)<0.001
Hb (median (IQR))135.0(128.30-141.00)135.50(129.6-141.0)130.8 (125.9-140.3)0.111
P (median (IQR))239(210-283)236(209-278)260 (212.0-300.5)0.115
ALB (median (IQR))45.00 (43.00-46.50)45.00 (43.00-46.30)45.00 (43.00-46.62)0.386
GLOB (median (IQR))30.00 (27.60-33.00)30.00 (27.30-33.00)30.00 (27.98-33.62)0.494
BMI (median (IQR))24.00 (21.80-26.70)24.00 (21.70-26.60)23.90 (21.98-27.10)0.522
PNI (median (IQR))55.10 (52.30-57.50)55.50 (52.60-58.10)53.05 (50.60-55.30)<0.001
AGR (median (IQR))1.48 (1.35-1.64)1.49 (1.38-1.63)1.47 (1.33-1.67)0.699
NLR (median (IQR))1.87 (1.45-2.47)1.66 (1.37-2.03)3.20 (2.86-3.64)<0.001
PLR (median (IQR))120(98-150)112(93-135)165(134-206)<0.001
MLR (median (IQR))0.20 (0.16-0.27)0.19 (0.15-0.22)0.30 (0.25-0.36)<0.001
SII (median (IQR))441 (329-630)397.00(299-508)813(696-1001)<0.001
SIRI (median (IQR))0.77 (0.51-1.14)0.64 (0.48-0.87)1.50 (1.20-2.08)<0.001

Abbreviations: INPS, inflammation and nutrition prognostic score; IQR, interquartile range; ER, estrogen receptor; PR, progesterone receptor; HER-2, human epidermal growth factor receptor 2; HER-2 OE, HER-2 overexpression; L, lymphocyte; N, neutrophil; M, monocyte; Hb, hemoglobin; P, platelet; ALB, albumin; GLOB, globulin; BMI, body mass index; PNI, prognostic nutritional index; AGR, albumin-globulin ratio; NLR, neutrophil-lymphocyte ratio; PLR, platelet-lymphocyte ratio; MLR, monocyte-lymphocyte ratio; SII, systemic immune inflammation index; SIRI, system inflammation response index.