Research Article

Novel Blood Indicators of Progression and Prognosis in Renal Cell Carcinoma: Red Cell Distribution Width-to-Lymphocyte Ratio and Albumin-to-Fibrinogen Ratio

Table 3

Univariable analysis of clinicopathologic variables in relation to OS and DFS in RCC patients.

ParameterOSDFS
HR (95% CI)HR (95% CI)

Age (years)0.0260.050
<651 (referent)1 (referent)
≥651.984 (1.085 – 3.627)1.783 (1.000 – 3.181)

Gender0.1000.341
Male1 (referent)1 (referent)
Female0.546 (0.266 – 1.123)0.740 (0.399 – 1.374)

BMI (kg/m2)0.2260.829
≥241 (referent)1 (referent)
<241.426 (0.803 – 2.534)1.060 (0.626 – 1.793)

HGB (g/L)0.0010.004
≥1201 (referent)1 (referent)
<1202.588 (0.224 – 0.681)2.201 (1.296 – 3.740)

Ca (mmol/L)0.0190.134
<2.41 (referent)1 (referent)
≥2.42.134 (1.468 – 4.457)1.630 (0.860 – 3.087)

Creatinine (μmoI/L)0.0600.075
<901 (referent)1 (referent)
≥901.700 (0.979 – 2.952)1.609 (0.953 – 2.716)

Ccr (ml/min)<0.0010.001
>801 (referent)1 (referent)
≤802.968 (1.670 – 5.274)2.466 (1.452 – 4.188)

Basic disease0.4250.381
No1 (referent)1 (referent)
Yes1.277 (0.707 – 2.307)1.284 (0.734 – 2.244)

Symptom0.0010.001
No1 (referent)1 (referent)
Yes2.751 (1.487 – 5.090)2.718 (1.525 – 4.845)

Surgery0.0010.002
Endoscopic1 (referent)1 (referent)
Open2.613 (1.503 – 4.537)2.269 (1.336 – 3.855)

Site0.6400.524
Left1 (referent)1 (referent)
Right0.876 (0.503 – 1.525)0.843 (0.498 – 1.426)

Tumour size (D/cm)<0.001<0.001
<71 (referent)1 (referent)
≥75.352 (3.010 – 9.517)4.196 (2.475 – 7.113)

Tumour necrosis0.7790.156
Absent1 (referent)1 (referent)
Present0.924 (0.530 – 1.608)0.677 (0.395 – 1.161)

Tumour type<0.001<0.001
ccRCC1 (referent)1 (referent)
nccRCC3.235 (1.858 – 5.634)3.080 (01.821 – 5.208)

TNM stage<0.001<0.001
I1 (referent)1 (referent)
II4.210 (1.951 – 9.086)3.375 (1.678 – 6.790)
III9.848( 4.612 – 21.026)8.305 (4.164 – 16.562)
IV13.634 (6.088 – 30.531)10.427 (4.787 – 22.713)

Fuhrman grade<0.001<0.001
G1 + G21 (referent)1 (referent)
G3 + G44.548 (2.455 – 8.424)3.250 (1.885 – 5.603)

RLR<0.001<0.001
<8.61 (referent)1 (referent)
≥8.63.350 (1.923 – 5.834)3.012 (1.783 – 5.077)

AFR<0.001<0.001
≥91 (referent)1 (referent)
<96.816 (3.729 – 12.458)5.957 (3.428 – 10.350)