Articles producció científica> Ciències Mèdiques Bàsiques

The aspartate aminotransaminase/alanine aminotransaminase (De Ritis) ratio predicts sensitivity to radiotherapy in head and neck carcinoma patients

  • Identification data

    Identifier: imarina:9182621
    Authors:
    Sansa, AinaVenegas, Maria del PradoValero, CristinaPardo, LauraAviles-Jurado, Francesc-XavierTerra, XimenaQuer, MiquelLeon, Xavier
    Abstract:
    Background The aim of this study is to evaluate the relationship between the aspartate aminotransaminase (AST) and alanine aminotransaminase (ALT) ratio and local disease control in patients with head and neck squamous cell carcinomas (HNSCC) treated with radiotherapy/chemoradiotherapy. Methods We calculated the pre-treatment AST/ALT ratio in 670 patients with HNSCC treated with radiotherapy (n = 309, 46.1%) or chemoradiotherapy (n = 361, 53.9%). Results Five-year local recurrence-free survival for patients with a low AST/ALT ratio value (n = 529, 79.0%) was 75.0% (95% CI: 71.1-78.9), and for patients with a high value (n = 141, 21.0%) it was 53.4% (CI 95: 44.4-62.4) (p = 0.0001). In a multivariable analysis, patients with a high ratio had nearly twice the risk of having a local tumor recurrence (HR 1.97, 95% CI 1.42-2.75, p = 0.0001). Conclusion The AST/ALT ratio was independently associated with the risk of local recurrence in patients with HNSCC treated with radiotherapy or chemoradiotherapy.
  • Others:

    Author, as appears in the article.: Sansa, Aina; Venegas, Maria del Prado; Valero, Cristina; Pardo, Laura; Aviles-Jurado, Francesc-Xavier; Terra, Ximena; Quer, Miquel; Leon, Xavier
    Department: Ciències Mèdiques Bàsiques Bioquímica i Biotecnologia
    URV's Author/s: Avilés Jurado, Francisco Javier / Terra Barbadora, Ximena
    Keywords: Tumor recurrence Tumor marker Tobacco use Retrospective study Retrospective studies Recursive partitioning Radiotherapy Prognostic factor Prognosis Primary tumor Practice guideline Neoplasm recurrence, local Multimodality cancer therapy Middle aged Male Major clinical study Local recurrence free survival Humans Human Hematological parameters Head and neck tumor Head and neck squamous cell carcinoma Head and neck neoplasms Follow up Female Disease specific survival Disease control Controlled study Cohort analysis Cisplatin Chemoradiotherapy Cetuximab Carcinoma Carboplatin Cancer surgery Cancer staging Cancer risk Cancer classification Biomarkers, tumor Ast/alt (deritis) ratio Ast Aspartic acid Aspartate aminotransferases Aspartate aminotransferase Aspartate aminotransaminase Article Alt (deritis) ratio Alanine transaminase Alanine aminotransferase Alanine aminotransaminase Alanine Adult
    Abstract: Background The aim of this study is to evaluate the relationship between the aspartate aminotransaminase (AST) and alanine aminotransaminase (ALT) ratio and local disease control in patients with head and neck squamous cell carcinomas (HNSCC) treated with radiotherapy/chemoradiotherapy. Methods We calculated the pre-treatment AST/ALT ratio in 670 patients with HNSCC treated with radiotherapy (n = 309, 46.1%) or chemoradiotherapy (n = 361, 53.9%). Results Five-year local recurrence-free survival for patients with a low AST/ALT ratio value (n = 529, 79.0%) was 75.0% (95% CI: 71.1-78.9), and for patients with a high value (n = 141, 21.0%) it was 53.4% (CI 95: 44.4-62.4) (p = 0.0001). In a multivariable analysis, patients with a high ratio had nearly twice the risk of having a local tumor recurrence (HR 1.97, 95% CI 1.42-2.75, p = 0.0001). Conclusion The AST/ALT ratio was independently associated with the risk of local recurrence in patients with HNSCC treated with radiotherapy or chemoradiotherapy.
    Thematic Areas: Surgery Saúde coletiva Otorhinolaryngology Odontología Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias iv Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: franciscojavier.aviles@urv.cat ximena.terra@urv.cat
    Author identifier: 0000-0001-5560-8097 0000-0003-1043-5844
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://onlinelibrary.wiley.com/doi/10.1002/hed.26673
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Head And Neck-Journal For The Sciences And Specialties Of The Head And Neck. 43 (7): 2091-2100
    APA: Sansa, Aina; Venegas, Maria del Prado; Valero, Cristina; Pardo, Laura; Aviles-Jurado, Francesc-Xavier; Terra, Ximena; Quer, Miquel; Leon, Xavier (2021). The aspartate aminotransaminase/alanine aminotransaminase (De Ritis) ratio predicts sensitivity to radiotherapy in head and neck carcinoma patients. Head And Neck-Journal For The Sciences And Specialties Of The Head And Neck, 43(7), 2091-2100. DOI: 10.1002/hed.26673
    Article's DOI: 10.1002/hed.26673
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2021
    Publication Type: Journal Publications
  • Keywords:

    Otorhinolaryngology,Surgery
    Tumor recurrence
    Tumor marker
    Tobacco use
    Retrospective study
    Retrospective studies
    Recursive partitioning
    Radiotherapy
    Prognostic factor
    Prognosis
    Primary tumor
    Practice guideline
    Neoplasm recurrence, local
    Multimodality cancer therapy
    Middle aged
    Male
    Major clinical study
    Local recurrence free survival
    Humans
    Human
    Hematological parameters
    Head and neck tumor
    Head and neck squamous cell carcinoma
    Head and neck neoplasms
    Follow up
    Female
    Disease specific survival
    Disease control
    Controlled study
    Cohort analysis
    Cisplatin
    Chemoradiotherapy
    Cetuximab
    Carcinoma
    Carboplatin
    Cancer surgery
    Cancer staging
    Cancer risk
    Cancer classification
    Biomarkers, tumor
    Ast/alt (deritis) ratio
    Ast
    Aspartic acid
    Aspartate aminotransferases
    Aspartate aminotransferase
    Aspartate aminotransaminase
    Article
    Alt (deritis) ratio
    Alanine transaminase
    Alanine aminotransferase
    Alanine aminotransaminase
    Alanine
    Adult
    Surgery
    Saúde coletiva
    Otorhinolaryngology
    Odontología
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Engenharias iv
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Biotecnología
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