Evaluation of the Prognostic Nutritional Index in Conjunction with Lung Cancer Stage and PET-CT SUVmax.

OBJECTIVE: Lung cancer is among the malignancies with the highest mortality rates globally, where nutritional and immune status significantly influence disease progression and prognosis. The study aimed to investigate the relationship of the prognostic nutritional index (PNI) with both the maximum s...

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Publicado en:Thoracic Research & Practice Vol. 27; no. 5; pp. 294 - 300
Autores principales: Kaya, İlknur, Erbay, Ümran, Parspur, Şebnem Emine, Marım, Feride, Doğan, Mehmet, Kaya, Şerife, Kan, Jülide
Formato: research tables/charts Journal Article
Publicado: Galenos Yayinevi Tic. LTD. STI Sep2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2026
      vid: 27
      iid: 5
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      pub: Galenos Yayinevi Tic. LTD. STI
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        196825469
        196825469
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        10.4274/ThoracResPract.2026.2026-4-7
        196825469
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        atl: Evaluation of the Prognostic Nutritional Index in Conjunction with Lung Cancer Stage and PET-CT SUVmax.
      aug:
        au:
          Kaya, İlknur
          Erbay, Ümran
          Parspur, Şebnem Emine
          Marım, Feride
          Doğan, Mehmet
          Kaya, Şerife
          Kan, Jülide
        affil: Department of Pulmonology Kütahya Health Sciences University, Kütahya, Türkiye
      sug:
        subj:
          Lung Neoplasms Diagnosis
          Neoplasm Staging
          Nutritional Status
          Positron Emission Tomography Computed Tomography Methods
          Fludeoxyglucose F 18 Diagnostic Use
          Human
          Turkiye
          Male
          Female
          Retrospective Design
          Nonexperimental Studies
          Colleges and Universities
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Data Analysis Software
          Spearman's Rank Correlation Coefficient
          Kruskal-Wallis Test
          Comparative Studies
          Bronchoscopy
          Cancer Patients
          Tumor Markers, Biological
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: OBJECTIVE: Lung cancer is among the malignancies with the highest mortality rates globally, where nutritional and immune status significantly influence disease progression and prognosis. The study aimed to investigate the relationship of the prognostic nutritional index (PNI) with both the maximum standardized uptake value (SUVmax), measured by positron emission tomography-computed tomography, and the clinical stage of lung cancer. MATERIAL AND METHODS: Patients who underwent fiberoptic bronchoscopy and were diagnosed with lung cancer at the Department of Pulmonology, Kütahya Health Sciences University, between January 1, 2022 and May 31, 2025, were retrospectively evaluated. A total of 241 patients diagnosed with lung cancer via bronchoscopy were evaluated; of these, 205 patients diagnosed with non-small-cell lung cancer (n = 205) were assessed according to stage. RESULTS: A total of 241 lung cancer patients were included; the mean age was 68.35±8.52 years and 95.0% were male. The mean PNI was 41.41±9.50 and the mean primary tumor SUVmax was 10.53±5.22. PNI and primary tumor SUVmax showed a very weak negative association that did not reach statistical significance (Spearman r = -0.127; P = 0.055). Clinical stage was positively associated with SUVmax (r = 0.253; P < 0.001) and negatively associated with PNI (r = -0.186; P = 0.007). CONCLUSION: Higher clinical stage was associated with higher primary tumor SUVmax and lower PNI. The association between PNI and SUVmax was weak and not statistically significant; therefore, it should not be considered clinically discriminative on its own. PNI may serve as an adjunctive indicator of nutritional and immune status, but prospective studies with survival outcomes and multivariable adjustment are required before it can be used as a prognostic or staging tool.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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