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©The Author(s) 2018.
World J Gastroenterol. Aug 7, 2018; 24(29): 3281-3292
Published online Aug 7, 2018. doi: 10.3748/wjg.v24.i29.3281
Published online Aug 7, 2018. doi: 10.3748/wjg.v24.i29.3281
Table 1 Baseline characteristics of 154 gallbladder cancer patients who underwent potential curative cholecystectomy n (%)
| Characteristic | Patients (n = 154) |
| Age (yr) | 64 (29-85) |
| ≤ 60 | 56 (36.4) |
| > 60 | 98 (63.6) |
| Sex | |
| Male | 63 (40.9) |
| Female | 91 (59.1) |
| Cholecystolithiasis | |
| Absent | 79 (51.3) |
| Present | 75 (48.7) |
| Diabetes | |
| Absent | 116 (75.3) |
| Present | 38 (24.7) |
| Jaundice | |
| Absent | 129 (83.8) |
| Present | 25 (8.9) |
| Blood groups | |
| A | 43 (27.9) |
| B | 56 (36.4) |
| AB | 9 (5.8) |
| O | 46 (29.9) |
| Pathological types | |
| Adenosquamous carcinoma | 3 (1.9) |
| Adenocarcinoma | 150 (97.4) |
| Papillocarcinoma | 1 (0.6) |
| Degree of differentiation | |
| Poor | 60 (39.0) |
| Moderate-well | 94 (61.0) |
| Resection margin status | |
| Negative | 96 (62.3) |
| Positive | 58 (37.7) |
| Maximum tumor diameter (cm) | 3 (0.2-13) |
| ≤ 2.45 | 68 (44.2) |
| > 2.45 | 86 (55.8) |
| T stage | |
| Tis-T1a | 10 (6.5) |
| T1b-T2b | 29 (18.8) |
| T3 | 103 (66.9) |
| T4 | 12 (7.8) |
| N stage | |
| 0 | 98 (63.6) |
| 1 | 47 (30.5) |
| 2 | 9 (5.8) |
| Distant metastasis | |
| Absent | 142 (92.2) |
| Present | 12 (7.8) |
| TNM stage | |
| 0-Istage | 16 (10.4) |
| IIA-IIB stage | 16 (10.4) |
| IIIA-IIIB stage | 92 (59.7) |
| IVA-IVB stage | 30 (19.5) |
| CA199 (U/mL) | 69.3 (0.6-10524) |
| ≤ 39 | 66 (42.9) |
| > 39 | 88 (57.1) |
| Fibrinogen concentration (g/L) | 3.54 (1.71-7.47) |
| ≤ 3.47 | 75 (48.7) |
| > 3.47 | 79 (51.3) |
| Albumin levels (g/L) | 41.0 (20.0-50.0) |
| ≤ 40.5 | 78 (50.6) |
| > 40.5 | 76 (49.4) |
| FAR | 0.09 (0.04-0.25) |
| ≤ 0.08 | 71 (46.1) |
| > 0.08 | 83 (53.9) |
Table 2 Correlation between fibrinogen concentration and clinicopathological characteristics in gallbladder cancer patients n (%)
| Characteristics | Fibrinogen concentration | P value | |
| ≤ 3.47 g/L (n = 75) | > 3.47 g/L (n = 79) | ||
| Age (yr) | |||
| ≤ 60 | 31 (20.1) | 25 (16.2) | 0.243 |
| > 60 | 44 (28.6) | 54 (35.1) | |
| Sex | |||
| Male | 33 (21.4) | 30 (19.5) | 0.513 |
| Female | 42 (27.3) | 49 (31.8) | |
| Cholecystolithiasis | |||
| Absent | 38 (24.7) | 41 (26.6) | 0.878 |
| Present | 37 (24.0) | 38 (24.7) | |
| Diabetes | |||
| Absent | 57 (37.0) | 59 (38.3) | 0.850 |
| Present | 18 (11.7) | 20 (13.0) | |
| Jaundice | |||
| Absent | 68 (44.2) | 61 (39.6) | 0.029 |
| Present | 7 (4.5) | 18 (11.7) | |
| Blood groups | |||
| A | 19 (12.3) | 24 (15.6) | 0.145 |
| B | 33 (21.4) | 23 (14.9) | |
| AB | 2 (1.3) | 7 (4.5) | |
| O | 21 (13.6) | 25 (16.2) | |
| Pathological types | |||
| Adenosquamous carcinoma | 0 (0) | 3 (1.9) | 0.142 |
| Adenocarcinoma | 75 (48.7) | 75 (48.7) | |
| Papillocarcinoma | 0 (0) | 1 (0.6) | |
| Degree of differentiation | |||
| Poor | 23 (14.9) | 37 (24.0) | 0.048 |
| Moderate-well | 52 (33.8) | 42 (27.3) | |
| Resection margin status | |||
| Negative | 56 (36.4) | 40 (26.4) | 0.003 |
| Positive | 19 (12.3) | 39 (25.3) | |
| Maximum tumor diameter (cm) | |||
| ≤ 2.45 | 34 (22.1) | 34 (22.1) | 0.871 |
| > 2.45 | 41 (26.6) | 45 (29.2) | |
| T stage | |||
| Tis-T1a | 8 (5.2) | 2 (1.3) | < 0.001 |
| T1b-T2b | 22 (14.3) | 7 (4.5) | |
| T3 | 43 (27.9) | 60 (39.0) | |
| T4 | 2 (1.3) | 10 (6.5) | |
| N stage | |||
| N0 | 50 (32.5) | 48 (31.2) | 0.748 |
| N1 | 21 (13.6) | 26 (16.9) | |
| N2 | 4 (2.6) | 5 (3.2) | |
| Distant metastasis | |||
| Absent | 69 (44.8) | 73 (47.4) | 0.925 |
| Present | 6 (3.9) | 6 (3.9) | |
| TNM stage | |||
| 0-Istage | 12 (7.8) | 4 (2.6) | 0.011 |
| IIA-IIB stage | 12 (7.8) | 4 (2.6) | |
| IIIA-IIIB stage | 39 (25.3) | 53 (34.4) | |
| IVA-IVB stage | 12 (7.8) | 18 (11.7) | |
| CA199 (U/mL) | |||
| ≤ 39 | 41 (26.6) | 25 (16.2) | 0.005 |
| > 39 | 34 (22.1) | 54 (35.1) | |
| Albumin levels (g/L) | |||
| ≤ 40.5 | 32 (20.8) | 44 (28.6) | 0.111 |
| > 40.5 | 43 (27.9) | 35 (22.7) | |
| FAR | |||
| ≤ 0.08 | 59 (38.3) | 12 (7.8) | < 0.001 |
| > 0.08 | 16 (10.4) | 67 (43.5) | |
Table 3 Correlation between albumin levels and clinicopathological characteristics in gallbladder cancer patients n (%)
| Characteristics | Albumin levels | P value | |
| ≤ 40.5g/L(n = 76) | > 40.5 g/L(n = 78) | ||
| Age (yr) | |||
| ≤ 60 | 22 (14.3) | 34 (22.1) | 0.067 |
| > 60 | 54 (35.1) | 44 (28.6) | |
| Sex | |||
| Male | 28 (18.2) | 35 (22.7) | 0.330 |
| Female | 48 (31.2) | 43 (27.9) | |
| Cholecystolithiasis | |||
| Absent | 34 (22.1) | 45 (29.2) | 0.147 |
| Present | 42 (27.3) | 33 (21.4) | |
| Diabetes | |||
| Absent | 53 (34.4) | 63 (40.9) | 0.136 |
| Present | 23 (14.9) | 15 (9.7) | |
| Jaundice | |||
| Absent | 54 (35.1) | 75 (48.7) | < 0.001 |
| Present | 22 (14.3) | 3 (1.9) | |
| Blood groups | |||
| A | 20 (13.0) | 23 (14.9) | 0.046 |
| B | 34 (22.1) | 22 (14.3) | |
| AB | 6 (7.9) | 3 (3.8) | |
| O | 16 (21.1) | 30 (19.5) | |
| Pathological types | |||
| Adenosquamous carcinoma | 0 (0) | 3 (1.9) | 0.137 |
| Adenocarcinoma | 75 (48.7) | 75 (48.7) | |
| Papillocarcinoma | 1 (0.6) | 0 (0.0) | |
| Degree of differentiation | |||
| Poor | 36 (23.4) | 24 (15.6) | 0.047 |
| Moderate-well | 40 (26.0) | 54 (35.1) | |
| Resection margin status | |||
| Negative | 39 (25.3) | 57 (37.0) | 0.008 |
| Positive | 37 (24.0) | 21 (13.6) | |
| Maximum tumor diameter (cm) | |||
| ≤ 2.45 | 36 (23.4) | 32 (20.8) | 0.516 |
| > 2.45 | 40 (26.0) | 46 (29.9) | |
| T stage | |||
| Tis-T1a | 2 (1.3) | 8 (5.2) | 0.021 |
| T1b-T2b | 9 (5.8) | 20 (13.0) | |
| T3 | 58 (37.7) | 45 (29.2) | |
| T4 | 7 (4.5) | 5 (3.2) | |
| N stage | |||
| N0 | 45 (29.2) | 53 (34.4) | 0.403 |
| N1 | 25 (16.2) | 22 (14.3) | |
| N2 | 6 (3.9) | 3 (1.9) | |
| Distant metastasis | |||
| Absent | 67 (43.5) | 75 (48.7) | 0.077 |
| Present | 9 (5.8) | 3 (1.9) | |
| TNM stage | |||
| 0-Istage | 3 (1.9) | 13 (8.4) | 0.007 |
| IIA-IIB stage | 6 (3.9) | 10 (6.5) | |
| IIIA-IIIB stage | 46 (29.9) | 46 (29.9) | |
| IVA-IVB stage | 21 (13.6) | 9 (5.8) | |
| CA199 (U/mL) | |||
| ≤ 39 | 24 (15.6) | 42 (27.3) | 0.006 |
| > 39 | 52 (33.8) | 36 (23.4) | |
| Fibrinogen concentration (g/L) | 0.111 | ||
| ≤ 3.47g/L | 32 (20.8) | 43 (27.9) | |
| > 3.47 g/L | 44 (28.6) | 35 (22.7) | |
| FAR | |||
| ≤ 0.08 | 21 (13.6) | 50 (32.5) | < 0.001 |
| > 0.08 | 55 (35.7) | 28 (18.2) | |
Table 4 Correlation between FAR and clinicopathological characteristics in gallbladder cancer patients n (%)
| Characteristics | FAR | P value | |
| ≤ 0.08(n = 71) | > 0.08(n = 83) | ||
| Age (yr) | |||
| ≤ 60 | 32 (20.8) | 24 (15.6) | 0.045 |
| > 60 | 39 (25.3) | 59 (38.3) | |
| Sex | |||
| Male | 30 (19.5) | 33 (21.4) | 0.870 |
| Female | 41 (26.6) | 50 (32.5) | |
| Cholecystolithiasis | |||
| Absent | 37 (24.0) | 42 (27.3) | 0.873 |
| Present | 34 (22.1) | 41 (26.6) | |
| Diabetes | |||
| Absent | 56 (36.4) | 60 (39.0) | 0.357 |
| Present | 15 (9.7) | 23 (14.9) | |
| Jaundice | |||
| Absent | 67 (43.5) | 62 (40.3) | < 0.001 |
| Present | 4 (2.6) | 21 (13.6) | |
| Blood groups | |||
| A | 22 (14.3) | 21 (13.6) | 0.148 |
| B | 28 (18.2) | 28 (18.2) | |
| AB | 1 (0.6) | 8 (5.2) | |
| O | 20 (13.0) | 26 (16.9) | |
| Pathological types | |||
| Adenosquamous carcinoma | 0 (0) | 3 (1.9) | 0.173 |
| Adenocarcinoma | 71 (46.1) | 79 (51.3) | |
| Papillocarcinoma | 0 (0) | 1 (0.6) | |
| Degree of differentiation | |||
| Poor | 18 (11.7) | 42 (27.3) | 0.002 |
| Moderate-well | 53 (34.4) | 41 (26.6) | |
| Resection margin status | |||
| Negative | 55 (35.7) | 41 (26.6) | < 0.001 |
| Positive | 16 (10.4) | 42 (27.3) | |
| Maximum tumor diameter (cm) | |||
| ≤ 2.45 | 37 (24.0) | 31 (20.1) | 0.075 |
| > 2.45 | 34 (22.1) | 52 (33.8) | |
| T stage | |||
| Tis-T1a | 8 (5.2) | 2 (1.3) | < 0.001 |
| T1b-T2b | 24 (15.6) | 5 (3.2) | |
| T3 | 36 (23.4) | 67 (43.5) | |
| T4 | 3 (1.9) | 9 (5.8) | |
| N stage | |||
| N0 | 48 (31.2) | 50 (32.5) | 0.623 |
| N1 | 19 (12.3) | 28 (18.2) | |
| N2 | 4 (2.6) | 5 (3.2) | |
| Distant metastasis | |||
| Absent | 68 (44.2) | 74 (48.1) | 0.145 |
| Present | 3 (1.9) | 9 (5.8) | |
| TNM stage | |||
| 0-Istage | 14 (9.1) | 2 (1.3) | < 0.001 |
| IIA-IIB stage | 14 (9.1) | 2 (1.3) | |
| IIIA-IIIB stage | 35 (22.7) | 57 (37.0) | |
| IVA-IVB stage | 8 (5.2) | 22 (14.3) | |
| CA199 (U/mL) | |||
| ≤ 39 | 43 (27.9) | 23 (14.9) | < 0.001 |
| > 39 | 28 (18.2) | 60 (39.0) | |
| Fibrinogen concentration (g/L) | |||
| ≤ 3.47g/L | 59 (38.3) | 16 (10.4) | < 0.001 |
| > 3.47 g/L | 12 (7.8) | 67 (43.5) | |
| Albumin levels (g/L) | |||
| ≤ 40.5g/L | 21 (13.6) | 55 (35.7) | < 0.001 |
| > 40.5 g/L | 50 (32.5) | 28 (18.2) | |
Table 5 Univariate analysis of overall survival in gallbladder cancer patients
| Characteristics | HR (95%CI) | P value |
| Age (yr) | 1.473 (0.973-2.230) | 0.067 |
| ≤ 60 | ||
| > 60 | ||
| Sex | 0.995 (0.670-1.477) | 0.981 |
| Male | ||
| Female | ||
| Cholecystolithiasis | 1.198 (0.814-1.764) | 0.360 |
| Absent | ||
| Present | ||
| Diabetes | 1.028 (0.651-1.623) | 0.906 |
| Absent | ||
| Present | ||
| Jaundice | 2.598 (1.644-4.106) | < 0.001 |
| Absent | ||
| Present | ||
| Blood groups | - | 0.113 |
| A | ||
| B | ||
| AB | ||
| O | ||
| Pathological types | - | 0.165 |
| Adenosquamous carcinoma | ||
| Adenocarcinoma | ||
| Papillocarcinoma | ||
| Degree of differentiation | 1.527 (1.031-2.261) | 0.035 |
| Poor | ||
| Moderate-well | ||
| Resection margin status | 3.683 (2.468-5.496) | < 0.001 |
| Negative | ||
| Positive | ||
| Maximum tumor diameter (cm) | 1.101 (0.744-1.630) | 0.631 |
| ≤ 2.45 | ||
| > 2.45 | ||
| T stage | - | < 0.001 |
| Tis-T1a | ||
| T1b-T2b | ||
| T3 | ||
| T4 | ||
| N stage | - | < 0.001 |
| 0 | ||
| 1 | ||
| 2 | ||
| Distant metastasis | 2.550 (1.388-4.684) | 0.003 |
| Absent | ||
| Present | ||
| TNM stage | - | < 0.001 |
| 0-Istage | ||
| IIA-IIB stage | ||
| IIIA-IIIB stage | ||
| IVA-IVB stage | ||
| CA199 (U/mL) | 3.125 (2.010-4.858) | < 0.001 |
| ≤ 39 | ||
| > 39 | ||
| Fibrinogen concentration (g/L) | 2.795 (1.853-4.214) | < 0.001 |
| ≤ 3.47 | ||
| > 3.47 | ||
| Albumin levels (g/L) | 0.391(0.259-0.590) | < 0.001 |
| ≤ 40.5 | ||
| > 40.5 | ||
| FAR | 4.626(2.987-7.165) | < 0.001 |
| ≤ 0.08 | ||
| > 0.08 |
Table 6 Multivariate analysis for overall survival in gallbladder cancer patients
| Characteristics | HR (95%CI) | Wald | P value |
| Resection margin status | 2.343 (1.532-3.581) | < 0.001 | |
| Negative | |||
| Positive | |||
| TNM stage | 8.595 | 0.035 | |
| IIA-IIB stage/0-1stage | 1.209 (0.287-5.095) | 0.067 | 0.796 |
| IIIA-IIIB stage/0-1 stage | 3.401 (1.033-11.202) | 4.051 | 0.044 |
| IVA-IVB stage/0-1 stage | 4.014 (1.142-14.107) | 4.696 | 0.030 |
| FAR | 2.813 (1.765-4.484) | < 0.001 | |
| ≤ 0.08 | |||
| > 0.08 | |||
| Albumin levels (g/L) | 0.595 (0.385-0.921) | 0.020 | |
| ≤ 40.5 | |||
| > 40.5 |
- Citation: Xu WY, Zhang HH, Xiong JP, Yang XB, Bai Y, Lin JZ, Long JY, Zheng YC, Zhao HT, Sang XT. Prognostic significance of the fibrinogen-to-albumin ratio in gallbladder cancer patients. World J Gastroenterol 2018; 24(29): 3281-3292
- URL: https://www.wjgnet.com/1007-9327/full/v24/i29/3281.htm
- DOI: https://dx.doi.org/10.3748/wjg.v24.i29.3281
