Utility of modified Glasgow prognostic score for head and neck squamous cell carcinoma: Systematic review and meta‐analysis

Author:

Luan Chih‐Wei123ORCID,Kuo Liang‐Tseng24,Wang Yun‐Ting5ORCID,Liao Chun‐Ta26,Kang Chung‐Jan26,Lee Yi‐Chan27ORCID,Chen Kuan‐Yin8,Lai Chia‐Hsuan29,Tsai Yuan‐Hsiung210,Huang Ethan I.25,Tsai Ming‐Shao25,Hsu Cheng‐Ming25ORCID,Chang Geng‐He25,Tsai Yao‐Te25ORCID

Affiliation:

1. Department of Otorhinolaryngology – Head and Neck Surgery LO‐Sheng Hospital Ministry of Health and Welfare‐Home Taoyuan Taiwan

2. College of Medicine Chang Gung University Taoyuan Taiwan

3. Lunghwa University of Science and Technology Taoyuan Taiwan

4. Division of Sports Medicine, Department of Orthopedic Surgery Chang Gung Memorial Hospital Chiayi Taiwan

5. Department of Otorhinolaryngology – Head and Neck Surgery Chang Gung Memorial Hospital Chiayi Taiwan

6. Department of Otorhinolaryngology – Head and Neck Surgery Chang Gung Memorial Hospital Taoyuan Taiwan

7. Department of Otorhinolaryngology – Head and Neck Surgery Chang Gung Memorial Hospital Keelung Taiwan

8. School of Dentistry National Yang Ming University Hsinchu Taiwan

9. Department of Radiation Oncology Chang Gung Memorial Hospital Chiayi Taiwan

10. Department of Diagnostic Radiology Chang Gung Memorial Hospital Chiayi Taiwan

Abstract

AbstractWhether the modified Glasgow prognostic score (mGPS) is useful for patients with head and neck squamous cell carcinoma (HNSCC) remains controversial. An electronic database search on EMBASE, PubMed, and the Cochrane Library from inception to 30 June 2022 was performed for study selection and data extraction. The associations between the mGPS and survival outcomes were evaluated using a random‐effects meta‐analysis and expressed as pooled hazard ratios (HRs) and 95% CIs. We included 11 studies involving a total of 2017 patients with HNSCC. A higher mGPS was associated with poorer progression‐free survival (HR = 2.39, 95% CI 1.69–3.38), overall survival (HR = 2.40, 95% CI 1.94–2.98), disease‐specific survival (HR = 2.57, 95% CI 1.71–3.88), and disease‐free survival (HR = 2.67, 95% CI 1.51–4.73, all p ≤ 0.001) in HNSCC. The mGPS can function as a valid prognostic biomarker for patients diagnosed as having HNSCC.

Funder

Chang Gung Medical Foundation

Publisher

Wiley

Subject

Otorhinolaryngology

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