Research Article

Prognostic Value of Pretreatment Systemic Immune-Inflammation Index in Glioblastoma Multiforme Patients Undergoing Postneurosurgical Radiotherapy Plus Concurrent and Adjuvant Temozolomide

Table 1

Baseline patient and disease characteristics.

CharacteristicAll patients
()
L-SII
()
H-SII
()
value

Median age, (range)57 (26-80)59 (34-80)58 (26-79)0.83
Age group, (%)
 <50 years49 (29.3)23 (28.7)26 (29.9)0.79
 ≥50 years118 (70.7)57 (71.3)61 (70.1)
Gender, (%)
 Female57 (34.1)27 (33.7)30 (34.5)0.81
 Male110 (65.9)53 (66.3)57 (65.5)
KPS, (%)
 90-10093 (55.7)45 (56.3)48 (55.1)0.92
 70-8074 (44.3)35 (43.7)39 (44.9)
RTOG-RPA class, (%)
 III65 (38.9)30 (37.5)35 (40.2)0.67
 IV72 (43.1)34 (42.5)38 (43.7)
 V30 (18.0)16 (20.0)14 (16.1)
Symptom duration, (%)
 <3 months121 (72.5)55 (68.8)66 (75.8)0.52
 ≥3 months46 (27.5)25 (31.2)21 (24.1)
Tumor location, (%)
 Frontal36 (21.6)17 (21.3)19 (21.9)0.79
 Parietal30 (18.1)14 (17.5)16 (18.4)
 Temporal34 (20.5)16 (20.0)18 (20.7)
 Occipital17 (10.3)10 (12.5)7 (8.0)
 Midline18 (10.2)8 (10.0)10 (11.5)
 Multilobar32 (19.3)15 (18.7)17 (19.5)
Extent of surgery, (%)
 GTR60 (35.9)27 (33.7)33 (40.2)0.34
 STR76 (45.5)37 (46.3)39 (44.9)
 Biopsy31 (18.6)16 (20.0)15 (14.9)
Pre-RT T2-FLAIR volume
 <27.4 cc82 (49.1)38 (47.5)44 (50.6)0.73
 ≥27.4 cc85 (50.9)42 (52.5)43 (49.4)
Corticosteroid use, (%)
 Yes112 (67.1)46 (57.5)66 (75.9)0.09
 No55 (22.9)34 (42.5)21 (24.1)
Anticonvulsant use, (%)
 Yes57 (34.1)31 (38.8)26 (29.9)0.28
 No110 (65.9)49 (61.2)61 (70.1)

L-SII: low systemic immune-inflammation index; H-SII: high-SII; KPS: Karnofsky performance score; RTOG-RPA: Radiation Therapy Oncology Group recursive partitioning analysis; GTR: gross total resection; STR: subtotal resection; RT: radiotherapy; FLAIR: fluid attenuation inversion recovery.