ORIGINAL RESEARCH ARTICLE
Systemic Inflammation Response Index and Pan-Immune- Inflammation Value: Prognostic Significance in Metastatic Melanoma
Received Date : 16 Aug 2024
Accepted Date : 15 Oct 2024
Available Online : 22 Oct 2024
Nargiz MAJIDOVAa, Muhammed Fatih KIRCALIa, Ali Kaan GÜRENa, Nadiye SEVERa,
Erkam KOCAASLANa, Yeşim AĞYOLa, Pınar ERELa, Burak PAÇACIa, Mustafa Alperen TUNÇa, Abdussamet ÇELEBİa, Selver IŞIKa, Rukiye ARIKANa, İbrahim Vedat BAYOĞLUa, Osman KÖSTEKa, Murat SARIa
aMarmara University Faculty of Medicine, Division of Medical Oncology, İstanbul, Türkiye
Doi: 10.37047/jos.2024-105164 - Article's Language: EN
Journal of Oncological Sciences. 2024;10(3):144-9.
ABSTRACT
Objective: Melanoma is an aggressive form of skin cancer. The growing incidence of cancer has been associated with systemic
inflammation, and novel indicators such as the pan-immune inflammation value (PIV) and Systemic Inflammation Response Index (SIRI) may
be used as prognostic markers for cancer. In this context, the prognostic significance of SIRI and PIV was evaluated in patients with metastatic
melanoma. Material and Methods: A retrospective analysis involving 58 patients diagnosed with metastatic melanoma at Marmara University
was conducted. SIRI and PIV were calculated using baseline neutrophil, monocyte, platelet, and lymphocyte counts. Results: Patients with
SIRI≥1.5 had significantly shorter progression-free survival (PFS) (mean 29.7 vs. 55.6 months, p=0.022) and overall survival (OS) (mean 38.9
vs. 78.8 months, p=0.006) compared to those with SIRI<1.5. Similarly, PIV≥390 was associated with shorter PFS (mean 28.3 vs. 57.4 months,
p=0.007) and OS (mean 39.2 vs. 78.8 months, p=0.007). The multivariate analysis, revealed SIRI as an independent prognostic factor for OS (HR:
2.2; 95% CI: 1.16-4.26, p=0.01), while PIV did not reach significance (HR: 1.2; 95% CI: 0.25-5.97, p=0.78). Conclusion: SIRI is an important
independent prognostic marker for OS in patients with metastatic melanoma and should, therefore, be incorporated into clinical practice for risk
stratification. Although PIV is associated with survival outcomes of patients, as revealed in the univariate analysis, it did not reach significance
in the multivariate analysis. Further studies are necessary to confirm these findings, increase the prognostic significance of SIRI, and evaluate
the efficacy of using SIRI in combination with other biomarkers.
Keywords: Systemic Inflammation Response Index; pan-immune inflammation value; prognostic markers; melanoma; survival analysis
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