دورية أكاديمية
The role of platelet to lymphocyte ratio and neutrophil to lymphocyte ratio in ulcerative colitis
العنوان: | The role of platelet to lymphocyte ratio and neutrophil to lymphocyte ratio in ulcerative colitis |
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المؤلفون: | Yujin Jeong, Seong Ran Jeon, Hyun Gun Kim, Jung Rock Moon, Tae Hee Lee, Jae Young Jang, Jun-Hyung Cho, Jun Seok Park, Heesu Park, Ki-hun Lee, Jin-Oh Kim, Joon Seong Lee, Bong Min Ko, Suyeon Park |
المصدر: | Intestinal Research, Vol 19, Iss 1, Pp 62-70 (2021) |
بيانات النشر: | Korean Association for the Study of Intestinal Diseases, 2021. |
سنة النشر: | 2021 |
المجموعة: | LCC:Medicine LCC:Diseases of the digestive system. Gastroenterology |
مصطلحات موضوعية: | colitis, ulcerative, neutrophil to lymphocyte ratio, platelet to lymphocyte ratio, fecal calprotectin, Medicine, Diseases of the digestive system. Gastroenterology, RC799-869 |
الوصف: | Background/Aims Neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) can serve as biomarkers for diagnosing and assessing disease activity in ulcerative colitis (UC). We investigated their clinical significance in UC. Methods We analyzed 48 patients with UC who underwent measurement of fecal calprotectin (FC) and endoscopy and 96 age- and sex-matched healthy controls. NLR and PLR were compared between the patients and healthy controls. The endoscopic activity was divided into 2 groups: group 1 (mild to moderate inflammation) and group 2 (severe inflammation) according to the Mayo endoscopic subscore in UC. Results To diagnose UC, the optimal cutoff of NLR and PLR was 2.26 (sensitivity 54.2%; specificity 90.6%; positive likelihood ratio 5.778, 95% confidence interval [CI] 2.944–11.339; area under the curve [AUC] 0.774, 95% CI, 0.690–0.859) and 179.8 (sensitivity 35.4%; specificity 90.6%; positive likelihood ratio 3.778, 95% CI 1.821–7.838; AUC 0.654, 95% CI 0.556–0.753), respectively. The optimal cutoff to differentiate group 1 and group 2 was 3.44, 175.9, and 453 µg/g for NLR, PLR, and FC, respectively (sensitivity, 63.6% vs. 90.9% vs. 81.8%; specificity, 81.1% vs. 78.4% vs. 73.0%; positive likelihood ratio, 3.364 vs. 4.205 vs. 3.027; AUC, 0.714 vs. 0.897 vs. 0.813). PLR had the highest AUC and positive likelihood ratio. Conclusions NLR and PLR help differentiate patients with UC from healthy controls. NLR, PLR, and FC indicate endoscopic activity and may reflect intestinal mucosal conditions. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 1598-9100 2288-1956 |
Relation: | http://www.irjournal.org/upload/pdf/ir-2019-09156.pdf; https://doaj.org/toc/1598-9100; https://doaj.org/toc/2288-1956 |
DOI: | 10.5217/ir.2019.09156 |
URL الوصول: | https://doaj.org/article/c9df80da23594387b5f9f25f7d1dafb6 |
رقم الأكسشن: | edsdoj.9df80da23594387b5f9f25f7d1dafb6 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 15989100 22881956 |
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DOI: | 10.5217/ir.2019.09156 |