Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis

ObjectiveThis study aims to elucidate the relationship between postoperative monocyte count and gastric cancer prognosis. We introduce a standardized monocyte ratio (MMR) to predict postoperative survival rates in gastric cancer patients effectively.MethodsA test cohort was created to develop and ev...

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Main Authors: Yiwei Jiang, Xianwei Sun, Chen Yang, Dandan Song, Chongjun Zhou, Xinxin Chen, Chongquan Huang, Zhonglin Wang, Jiante Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Oncology
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Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2025.1514281/full
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author Yiwei Jiang
Xianwei Sun
Chen Yang
Dandan Song
Chongjun Zhou
Xinxin Chen
Chongquan Huang
Zhonglin Wang
Jiante Li
author_facet Yiwei Jiang
Xianwei Sun
Chen Yang
Dandan Song
Chongjun Zhou
Xinxin Chen
Chongquan Huang
Zhonglin Wang
Jiante Li
author_sort Yiwei Jiang
collection DOAJ
description ObjectiveThis study aims to elucidate the relationship between postoperative monocyte count and gastric cancer prognosis. We introduce a standardized monocyte ratio (MMR) to predict postoperative survival rates in gastric cancer patients effectively.MethodsA test cohort was created to develop and evaluate the pre- and postoperative MMR as a mortality predictor in gastric cancer patients. We used Kaplan-Meier survival analysis, complemented by univariate and multivariate analyses. The predictive utility of MMR was assessed via time-dependent ROC curves and decision-curve analysis.ResultsThe sample distributions in both cohorts were similar. The MMR showed high predictive value and significant clinical benefits in 1, 3, and 5-year overall survival (OS) assessments. These findings enhance understanding of prognosis and aid in developing more precise treatment plans.ConclusionsMMR is confirmed as an independent factor in predicting overall survival in gastric cancer patients, proving to be a reliable and cost-effective prognostic indicator.
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institution Kabale University
issn 2234-943X
language English
publishDate 2025-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj-art-4a99e40efd454a0c83136643fdf2587b2025-02-07T05:10:30ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2025-02-011510.3389/fonc.2025.15142811514281Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysisYiwei Jiang0Xianwei Sun1Chen Yang2Dandan Song3Chongjun Zhou4Xinxin Chen5Chongquan Huang6Zhonglin Wang7Jiante Li8Department of Gastrointestinal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Gastrointestinal Surgery, The 1st Affiliated Hospital Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Gastrointestinal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Radioimaging, Wenzhou Central Hospital, Wenzhou, Zhejiang, ChinaDepartment of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaDepartment of Anorectal Surgery, The 2nd Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, ChinaObjectiveThis study aims to elucidate the relationship between postoperative monocyte count and gastric cancer prognosis. We introduce a standardized monocyte ratio (MMR) to predict postoperative survival rates in gastric cancer patients effectively.MethodsA test cohort was created to develop and evaluate the pre- and postoperative MMR as a mortality predictor in gastric cancer patients. We used Kaplan-Meier survival analysis, complemented by univariate and multivariate analyses. The predictive utility of MMR was assessed via time-dependent ROC curves and decision-curve analysis.ResultsThe sample distributions in both cohorts were similar. The MMR showed high predictive value and significant clinical benefits in 1, 3, and 5-year overall survival (OS) assessments. These findings enhance understanding of prognosis and aid in developing more precise treatment plans.ConclusionsMMR is confirmed as an independent factor in predicting overall survival in gastric cancer patients, proving to be a reliable and cost-effective prognostic indicator.https://www.frontiersin.org/articles/10.3389/fonc.2025.1514281/fullgastric cancerpostoperative and preoperative monocytes ratioprognosisoverall survival (OS)precise treatment
spellingShingle Yiwei Jiang
Xianwei Sun
Chen Yang
Dandan Song
Chongjun Zhou
Xinxin Chen
Chongquan Huang
Zhonglin Wang
Jiante Li
Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis
Frontiers in Oncology
gastric cancer
postoperative and preoperative monocytes ratio
prognosis
overall survival (OS)
precise treatment
title Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis
title_full Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis
title_fullStr Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis
title_full_unstemmed Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis
title_short Dynamic monocyte changes as prognostic indicators in operable gastric cancer: a retrospective cohort analysis
title_sort dynamic monocyte changes as prognostic indicators in operable gastric cancer a retrospective cohort analysis
topic gastric cancer
postoperative and preoperative monocytes ratio
prognosis
overall survival (OS)
precise treatment
url https://www.frontiersin.org/articles/10.3389/fonc.2025.1514281/full
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