Predictive Significance of C-reactive Protein-to-albumin Ratio for Postoperative Pancreatic Fistula after Pancreaticoduodenectomy

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Abstract

Background/Aim: The usefulness of C-reactive protein-to-albumin ratio (CAR) as a predictive indicator for clinically-relevant postoperative pancreatic fistula (CR-POPF) after pancreaticoduodenectomy (PD) is unclear. We performed a retrospective analysis to identify reliable inflammatory indicators for prediction of CR-POPF after PD. Patients and Methods: We enrolled 160 consecutive patients who underwent PD. Multivariate logistic regression analysis was performed. The areas under curves (AUCs) were compared with the discriminatory ability of inflammatory indicators, namely, C-reactive protein (CRP), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), platelet count multiplied by C-reactive protein (P-CRP), and CAR. Results: The AUC for CAR on POD 3 to predict CR-POPF was 0.782 (p<0.001) and higher than that for CRP (0.773), NLR (0.652), PLR (0.504), and P-CRP (0.703). Multivariate analysis revealed that CAR on POD 3 was an independent predictive indicator of CR-POPF. Conclusion: CAR on POD 3 is a reliable predictor of CR-POPF after PD.

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Sakamoto, T., Yagyu, Y., Uchinaka, E. I., Morimoto, M., Hanaki, T., Tokuyasu, N., … Fujiwara, Y. (2019). Predictive Significance of C-reactive Protein-to-albumin Ratio for Postoperative Pancreatic Fistula after Pancreaticoduodenectomy. Anticancer Research, 39(11), 6283–6290. https://doi.org/10.21873/anticanres.13838

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