Research Article

Pretreatment Neutrophil-to-Lymphocyte Ratio and Lactate Dehydrogenase Predict the Prognosis of Metastatic Cervical Cancer Treated with Combination Immunotherapy

Table 3

Univariate and multivariate analyses of progression-free survival in patients with metastatic cervical cancer treated with combination immunotherapy.

VariablesUnivariateMultivariate
HR (95% CI)HR (95% CI)

Age (<50 vs. ≥50 years)1.198 (0.658–2.184)0.554
Histology (squamous cell carcinoma vs. adenocarcinoma)2.448 (1.291–4.645)0.0063.258 (1.652–6.422)0.001
Disease status (local recurrence vs. distant metastasis)0.581 (0.320–1.053)0.074
Prior radiotherapy (yes vs. no)0.611 (0.258–1.447)0.263
Line of immunotherapy (<3 vs. ≥3)1.592 (0.865–2.930)0.135
NLR (<5.33 vs. ≥5.33)2.140 (1.005–4.342)0.0352.401 (1.151–5.009)0.020
PLR (<297.92 vs. ≥297.92)1.614 (0.814–3.200)0.171
MLR (<0.29 vs. ≥0.29)2.528 (0.993–6.431)0.052
SCC-Ag (<2.85 vs. ≥2.85)1.218 (0.672–2.208)0.516
AGR (<1.80 vs. ≥1.80)1.122 (0.537–2.345)0.759
LDH (<195.00 vs. ≥195.00)2.073 (1.090–3.942)0.0261.987 (1.029–3.835)0.041
ALP (<87.50 vs. ≥87.50)0.973 (0.538–1.762)0.929

Abbreviations: AGR, albumin-to-globulin ratio; ALP, alkaline phosphatase; CI, confidence interval; HR, hazard ratio; LDH, lactate dehydrogenase; MLR, monocyte-to-lymphocyte ratio; NLR, neutrophil-to-lymphocyte ratio; PLR, platelet-to-lymphocyte ratio; SCC-Ag, squamous cell carcinoma-associated antigen.