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Indian Journal of Otolaryngology and Head & Neck Surgery

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22-12-2023 | Other Articles

Meta-analysis of the Relationship Between Neutrophil to Lymphocyte Ratio and Nasal Polyps

Authors: Shokoufeh Khanzadeh, Arshin Ghaedi, Fatemeh Zari Meidani, Rahem Rahmati, Aida Bazrgar, Brandon Lucke-Wold, Monireh Khanzadeh

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 2/2024

Abstract

Our study aimed to enhance understanding of nasal polyp pathophysiology by reviewing the data for variations of NLR values between patients with nasal polyp and healthy controls. We searched Web of Science, PubMed, ProQuest, and Scopus up to 2 April 2023. The search strategy was not limited to any specific language. Twelve studies were included in our study. Of them, ten studies, involving 898 nasal polyp patients and 590 control patients, were included in the meta-analysis. The NLR levels in nasal polyp patients were statistically greater than in the control group (SMD = 0.56; 95%CI 0.04–1.08, P = 0.036). Subgroup analysis based on study design yielded that patients with nasal polyp exhibited significantly higher NLR levels than healthy controls in retrospective studies (SMD = 0.83; 95%CI 0.30–1.35, P = 0.002) but not in prospective studies (SMD = 0.10; 95%CI = −1.03 to 1.23, P = 0.85). Also, we found that the NLR levels in nasal polyp patients were significantly higher than healthy controls in high-quality studies (SMD = 1.00; 95%CI 0.38–1.62, P = 0.002) but not in low-quality studies (SMD = 0.11; 95%CI = −0.69 to 0.91, P = 0.79). A total of 312 patients with recurrence and 550 patients without recurrence were included in the study. The combined results revealed that NLR levels in nasal polyp recurrence patients were significantly higher than those of the nasal polyp without recurrence group (SMD = 0.06, 95% CI 0.39–0.81, P = 0.000). These results showed the relationship between the NLR in nasal polyps and can help medical doctors to predict the recurrence of the disease in such patients.

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Title: Meta-analysis of the Relationship Between Neutrophil to Lymphocyte Ratio and Nasal Polyps
Authors: Shokoufeh Khanzadeh
Arshin Ghaedi
Fatemeh Zari Meidani
Rahem Rahmati
Aida Bazrgar
Brandon Lucke-Wold
Monireh Khanzadeh
Publication date: 22-12-2023
Publisher: Springer India
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 2/2024
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-023-04306-y

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Meta-analysis of the Relationship Between Neutrophil to Lymphocyte Ratio and Nasal Polyps

Abstract

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Abstract

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