P.196 Quality of life, emotional and cognitive functioning in young people with type 1 diabetes

Abstract

Albumin-to-alkaline phosphatase ratio (AAPR), a novel and economic serum biomarker, is associated with survival in patients with cancer. This study aimed to evaluate the potential role of AAPR as a prognostic indicator of solid cancers.This meta-analysis with trial sequential analysis of retrospective studies was designed to investigate the relationship between AAPR and overall survival (OS) in solid cancers. The meta-analysis included 5951 patients from 20 cohorts. The main predictor variable was AAPR, and the main outcome was OS. Statistical tests were performed using Stata 12.0, Revman 5.3, and R 3.6.1.Compared to patients with a lower AAPR, those with a higher AAPR had a better OS (hazard ratio [HR]: 0.50; 95% confidence interval [CI]: 0.43–0.58; p < 0.001). Subgroup analysis by tumor type indicated that a higher AAPR was associated with a better OS in non-small cell lung cancer (HR: 0.45; 95% CI: 0.26–0.78; p < 0.001), small cell lung cancer (HR: 0.60; 95% CI: 0.44–0.82; p < 0.001), hepatocellular carcinoma (HR: 0.49; 95% CI: 0.34–0.69; p < 0.001), pancreatic ductal adenocarcinoma (HR: 0.47; 95% CI: 0.31–0.71; p < 0.001), and nasopharyngeal carcinoma (HR: 0.42; 95% CI: 0.21–0.85; p = 0.016).Pretreatment AAPR may be a useful prognostic indicator in solid cancers.