J Cancer 2017; 8(16):3362-3370. doi:10.7150/jca.20917

Research Paper

Alkaline Phosphatase-To-Albumin Ratio as a Prognostic Indicator in Pancreatic Ductal Adenocarcinoma after Curative Resection

Ning Pu1*, Shanshan Gao2, 3*, Yadong Xu1, Guochao Zhao1, Yang Lv1, Abulimiti Nuerxiati1, Jian-ang Li1, Dansong Wang1, Xuefeng Xu1, Tiantao Kuang1, Xiaolin Wang2, 3, Wenhui Lou1, Lingxiao Liu2, 3✉, Wenchuan Wu1✉

1. Department of General Surgery, Zhongshan Hospital, Institute of General Surgery and Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China;
2. Department of Interventional Radiology, Zhongshan Hospital and Shanghai Medical College, Fudan University, Shanghai, 200032, People's Republic of China;
3. Shanghai Institute of Medical Imaging, Shanghai, 200032, People's Republic of China.
* These authors contributed equally to this work

Abstract

Background: The prognosis of pancreatic ductal adenocarcinoma (PDAC) remains poor and the models for survival prediction in PDAC patients after curative resection are still limited. Preoperative alkaline phosphatase-to-albumin ratio (APAR), an original inflammation-based score, has been established to analyze the prognostic significance in PDAC. Therefore, in this study, we aim to formulate a valuable prognostic nomogram for PDAC following curative resection.

Methods: A total of 354 patients with PDAC undergoing curative resection were retrospectively enrolled in this study. The prognostic value of APAR was analyzed in primary cohort containing 220 randomly selected PDAC patients with curative resection and prognostic nomogram incorporating APAR into the American Joint Commission on Cancer (AJCC) 8th edition was established to obtain superior discriminatory abilities. The predictive performance of APAR was further validated in another independent cohort of 134 PDAC patients.

Results: Patients with higher serum APAR level were probable to sustain poorer overall survival (OS). Significant positive correlations were found between APAR and tumor site, and several serum biochemical indexes, such as aspartate aminotransferase (AST), alanine aminotransferase (ALT), etc. The results of multivariate analysis showed, APAR was also identified as an independent prognostic indicator for OS in both primary and validation cohorts (P=0.004, P=0.038, respectively). Compared with the AJCC 8th edition, the nomogram consisting of APAR, pathological differentiation and the TNM staging system of AJCC 8th edition showed superior predictive accuracy for OS. All these results were further verified in the validation cohort.

Conclusions: APAR can be considered as a novel independent prognostic biomarker for PDAC following curative resection. One more accurate and advanced predictive model will be achieved via the incorporation of APAR into nomogram.

Keywords: pancreatic ductal adenocarcinoma, alkaline phosphatase-to-albumin ratio, prognosis, nomogram, decision curve analysis.

This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY-NC) license (https://creativecommons.org/licenses/by-nc/4.0/). See http://ivyspring.com/terms for full terms and conditions.
How to cite this article:
Pu N, Gao S, Xu Y, Zhao G, Lv Y, Nuerxiati A, Li Ja, Wang D, Xu X, Kuang T, Wang X, Lou W, Liu L, Wu W. Alkaline Phosphatase-To-Albumin Ratio as a Prognostic Indicator in Pancreatic Ductal Adenocarcinoma after Curative Resection. J Cancer 2017; 8(16):3362-3370. doi:10.7150/jca.20917. Available from http://www.jcancer.org/v08p3362.htm