Research Article

Neutrophil-Lymphocyte Ratio as a Prognostic Parameter in NSCLC Patients Receiving EGFR-TKIs: A Systematic Review and Meta-Analysis

Table 1

Study characteristics of studies investigating the prognostic relevance of NLR.

AuthorYearCountryTotal number of patientsStudy designClinical stageNLR cutoff valueTreatmentMedian PFSMedian OSFollow-up time (months)

Thang Thanh Phan2018Vietnam112Single-center, retrospective studyIV2.96Erlotinib or gefitinib11.1 vs. 7.7 months, HR = 2.15, 95% CI = (1.15–3.99), NANA
Sung Hoon Sim2015Korea85Single-center, retrospective studyIIIB or IV3GefitinibHR = 1.239, 95% CI = (0.693–2.215), NANA
Seigo Minami2017Japan152Single-center, retrospective studyStage III-IV or postsurgical recurrence2.11Gefitinib, erlotinib or afatinib15.9 vs. 10.1 months, HR = 1.03, 95% CI = (0.97–1.10), 38.6 vs. 24.1 months, HR = 1.07, 95% CI = (1.01–1.14), NA
Fausto Meriggi2017Italy63Multicenter, retrospective studyIV3.5Erlotinib or gefitinibHR = 2.275, 95% CI = (1.257–4.116), HR = 2.699, 95% CI = (1.187–6.137), NA
Yuan Zhang2018China127Single-center, retrospective studyIIIB or IV2.9Erlotinib or gefitinibHR = 0.573, 95% CI = (0.340–0.964), HR = 0.491, 95% CI = (0.262–0.920), Mean: 28.12
Cong Xu2020China65Single-center, retrospective studyIIIB to IVB2.57Gefitinib, icotinib, erlotinib, afatinib, osimertinibHR = 3.560, 95% CI = (1.736–7.301), NANA
Yu-Mu Chen2016Taiwan, China1386Single-center, retrospective studyIIIB or IV5.2Erlotinib, gefitinib or afatinibNAHR = 2.352, 95% CI = (1.052–5.256), Median: 7.0
Gui-Nan LIN2014China81Single-center, retrospective studyIV3.5Erlotinib or gefitinibHR = 3.89, 95% CI = (1.98–7.68), HR = 3.29, 95% CI = (1.62–6.71), NA
Taihei Ono2020Japan205Single-center, retrospective studyIV3.55Erlotinib or gefitinibHR = 1.82, 95% CI = (1.35–2.44), HR = 1.78, 95% CI = (1.27–2.51), Median: 25.2
David Aguiar-Bujanda2018Spain41Single-center, retrospective studyIIIB to IV4.39Erlotinib or gefitinib10.58 vs. 20.84 months, HR = 1.668, 95% CI = (0.826–3.368), 7.4 months vs. 24.6 months, HR = 2.743, 95% CI = (1.249–6.022), Median: 54.5

NLR: neutrophil-lymphocyte ratio; HR: hazard ratio; CI: confidence interval; NA: not available; PFS: progression-free survival; OS: overall survival.