The Geriatric Nutritional Risk Index as a Predictor of Outcomes in Urological Cancers: A Systematic Review and Meta-Analysis Article Swipe
Y. Chen
,
Mei C. Wen
,
Zhe Yu
,
Fengqin Xu
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1159/000544793
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1159/000544793
Introduction: The geriatric nutritional risk index (GNRI) is being used to predict outcomes of several malignancies. However, its utility for urinary tract cancer has not been systematically analyzed. We present the first meta-analysis examining the association between GNRI and the prognosis of urological cancers. Methods: This PROSPERO registered review searched Embase, PubMed, Web of Science, and Scopus up to 25 November 2024 for studies examining the relationship between GNRI and overall survival (OS), cancer-specific survival (CSS), and progression-free survival (PFS) after urological cancers. Results: A total of 20 studies were eligible. Three studies were on bladder cancer, four on prostate cancer, seven on renal cell carcinoma (RCC), and six on urothelial cancers. Meta-analysis showed that low GNRI was a statistically significant predictor of poor OS in prostate cancer (OR: 3.02; 95% CI: 1.61, 5.67). Pooled analysis showed that low GNRI was associated with poor OS (OR: 2.17; 95% CI: 1.46, 3.22) and CSS (OR: 2.60; 95% CI: 1.57, 4.30) in RCC but not PFS (OR: 1.50; 95% CI: 1.00, 2.24). Pooled analysis also found that low GNRI was a predictor of worse OS (OR: 2.24; 95% CI: 1.52, 3.29) and CSS (OR: 3.07; 95% CI: 1.38, 6.86) in urothelial carcinoma. A narrative review on bladder cancer and GNRI showed mixed results. Conclusion: GNRI may have a role in predicting outcomes of urological malignancies. Low GNRI was independently associated with worse OS after prostate, renal cell, and urothelial carcinoma. Further, it also predicted CSS after RCC and urothelial carcinoma.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1159/000544793
- https://karger.com/uin/article-pdf/doi/10.1159/000544793/4362918/000544793.pdf
- OA Status
- hybrid
- References
- 53
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409217479
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409217479Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1159/000544793Digital Object Identifier
- Title
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The Geriatric Nutritional Risk Index as a Predictor of Outcomes in Urological Cancers: A Systematic Review and Meta-AnalysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-06Full publication date if available
- Authors
-
Y. Chen, Mei C. Wen, Zhe Yu, Fengqin XuList of authors in order
- Landing page
-
https://doi.org/10.1159/000544793Publisher landing page
- PDF URL
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https://karger.com/uin/article-pdf/doi/10.1159/000544793/4362918/000544793.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://karger.com/uin/article-pdf/doi/10.1159/000544793/4362918/000544793.pdfDirect OA link when available
- Concepts
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Medicine, Meta-analysis, Internal medicine, Oncology, Prostate cancer, Bladder cancer, Urothelial carcinoma, Urinary system, Renal cell carcinoma, Prostate, Cancer, GynecologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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53Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2569855807, https://openalex.org/W4206841660, https://openalex.org/W4213089453, https://openalex.org/W2521844153, https://openalex.org/W2593483995, https://openalex.org/W2954771457, https://openalex.org/W3172406588, https://openalex.org/W1261540342, https://openalex.org/W3034395705, https://openalex.org/W3215827368, https://openalex.org/W2108349450, https://openalex.org/W2027905358, https://openalex.org/W2595712362, https://openalex.org/W3048024261, https://openalex.org/W1781370703, https://openalex.org/W4296164431, https://openalex.org/W3007218532, https://openalex.org/W4310186684, https://openalex.org/W3211228631, https://openalex.org/W3146142859, https://openalex.org/W4311777766, https://openalex.org/W4389180658, https://openalex.org/W3136477538, https://openalex.org/W1618844826, https://openalex.org/W3122598581, https://openalex.org/W4388554595, https://openalex.org/W3217209325, https://openalex.org/W2901997707, https://openalex.org/W4390590903, https://openalex.org/W4396229547, https://openalex.org/W4401429715, https://openalex.org/W4402941435, https://openalex.org/W3207520990, https://openalex.org/W3186920079, https://openalex.org/W4328048523, https://openalex.org/W3082135257, https://openalex.org/W4388727050, https://openalex.org/W4320497413, https://openalex.org/W4310387489, https://openalex.org/W2947022069, https://openalex.org/W4387577948, https://openalex.org/W3097366489, https://openalex.org/W4321748120, https://openalex.org/W2144882198, https://openalex.org/W1581128343, https://openalex.org/W2970441773, https://openalex.org/W2544295368, https://openalex.org/W2784374589, https://openalex.org/W3188414598, https://openalex.org/W2616823122, https://openalex.org/W4387392419, https://openalex.org/W2891424206, https://openalex.org/W2237488834 |
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