Scientific Reports (Oct 2023)

The modified Glasgow prognostic score is a reliable predictor of oncological outcomes in patients with rectal cancer undergoing neoadjuvant chemoradiotherapy

  • Atsushi Shimada,
  • Takeru Matsuda,
  • Ryuichiro Sawada,
  • Hiroshi Hasegawa,
  • Kimihiro Yamashita,
  • Hitoshi Harada,
  • Naoki Urakawa,
  • Hironobu Goto,
  • Shingo Kanaji,
  • Taro Oshikiri,
  • Yoshihiro Kakeji

DOI
https://doi.org/10.1038/s41598-023-44431-w
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 8

Abstract

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Abstract There has been no reliable marker for predicting oncological outcomes in patients with locally advanced rectal cancer (LARC) undergoing neoadjuvant chemoradiotherapy (NACRT). We retrospectively analyzed 73 patients with LARC who underwent curative surgery after NACRT. The modified Glasgow prognostic score (mGPS) was assessed after NACRT, and clinical outcomes were compared between the high (mGPS = 1 or 2; n = 23) and low (mGPS = 0; n = 50) groups. Body mass index was significantly higher in the low mGPS group. The 5-year disease-free survival (DFS) rate was significantly worse in the high mGPS group than that in the low mGPS group (36.7% vs. 76.6%, p = 0.002). Univariate and multivariate analyses of DFS revealed that mGPS was the most significant predictor (p < 0.001). mGPS appears to be a reliable predictor of oncological outcomes in patients with LARC undergoing NACRT.