Cancer Communications
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[ Special series on lung cancer 2 ]
doi: 10.1186/s40880-015-0054-2
Prognostic role of the ABO blood types in Chinese patients with curatively resected non-small cell lung cancer: a retrospective analysis of 1601 cases at a single cancer center
Ning Li, Miao Xu, Chao-Feng Li, Wei Ou, Bao-Xiao Wang, Song-Liang Zhang, Peng-Fei Xu, Cheng Yuan, Qun-Ai Huang and Si-Yu Wang
Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine; Department of Thoracic Surgery, Department of Experimental Research, Sun Yat-sen University Cancer Center Guangzhou 510060, Guangdong, P.R. China
[Abstract]
Background
A positive association between the ABO blood types and survival has been suggested in several malignancies. The aim of this study was to assess the role of the ABO blood types in predicting the prognosis of Chinese patients with curatively resected non-small cell lung cancer (NSCLC).

Methods
We retrospectively analyzed 1601 consecutive Chinese patients who underwent curative surgery for NSCLC between January 1, 2005 and December 31, 2009. The relationship between the ABO blood types and survival was investigated. In addition, univariate and multivariate analyses were performed.

Results
Group 1 (patients with the blood type O or B) had significantly prolonged overall survival (OS) compared with group 2 (patients with the blood type A or AB), with a median OS of 74.9 months versus 61.5 months [hazard ratio (HR) 0.83; 95% confidence interval (CI) 0.72–0.96; P = 0.015]. Additionally, group 1 had significantly longer disease-free survival (DFS; HR 0.86; 95% CI 0.76-0.98; P = 0.022) and locoregional relapse-free survival (LRFS; HR 0.79; 95% CI 0.64–0.98; P = 0.024) than group 2. The association was not significantly modified by other risk factors for NSCLC, including smoking status, pathologic tumor-node-metastasis stage, pT category, pN category, and chemotherapy.

Conclusions
There is an association between the ABO blood types and the survival of Chinese patients with resected NSCLC. Patients with the blood type O or B had significantly prolonged OS, DFS, and LRFS compared with those with the blood type A or AB.
Chinese Journal of Cancer 2015, Volume: 34, Issue 10
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Ning Li, Miao Xu, Chao-Feng Li, Wei Ou, Bao-Xiao Wang, Song-Liang Zhang, Peng-Fei Xu, Cheng Yuan, Qun-Ai Huang and Si-Yu Wang. Prognostic role of the ABO blood types in Chinese patients with curatively resected non-small cell lung cancer: a retrospective analysis of 1601 cases at a single cancer center. Chin J Cancer. 2015, 34:54. doi:10.1186/s40880-015-0054-2


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