Evaluating the Prognostic Nutritional Index in Renal Cell Carcinoma Patients: A Comprehensive Systematic Review and Meta-Analysis Update - Report - MDSpire

Evaluating the Prognostic Nutritional Index in Renal Cell Carcinoma Patients: A Comprehensive Systematic Review and Meta-Analysis Update

  • By

  • Zhuo Xu

  • Leihong Xie

  • Hanchao Zhang

  • Guanghui Han

  • Weiquan Guo

  • February 14, 2026

  • 0 min

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Clinical Report: Evaluating the Prognostic Nutritional Index in RCC Patients

Overview

This systematic review and meta-analysis evaluates the prognostic nutritional index (PNI) in renal cell carcinoma (RCC) patients, highlighting its association with overall survival, progression-free survival, and cancer-specific survival. The findings suggest that PNI may serve as a valuable prognostic tool in RCC, particularly in the context of systemic therapies.

Background

Renal cell carcinoma (RCC) is a prevalent malignancy that significantly contributes to cancer-related mortality. Traditional prognostic factors often fall short in predicting individualized outcomes, especially in advanced disease. The prognostic nutritional index (PNI), which reflects nutritional and immune status, has emerged as a potential biomarker to enhance prognostic assessments in RCC.

Data Highlights

No numerical data available in the provided source material.

Key Findings

  • PNI is calculated using serum albumin and lymphocyte count, with lower values indicating poor nutritional and immune status.
  • Low PNI correlates with higher T stage, Fuhrman grade, and non-clear cell subtype in RCC.
  • Previous studies have shown inconsistent PNI cutoff values, limiting its clinical applicability.
  • This meta-analysis includes recent studies and larger sample sizes to provide updated insights into PNI's prognostic value in RCC.
  • PNI may aid in risk stratification and personalized treatment approaches for RCC patients.

Clinical Implications

The findings support the integration of PNI into clinical practice as a supplementary prognostic tool for RCC. Clinicians may consider PNI when assessing patient prognosis and tailoring treatment strategies, particularly in the context of systemic therapies.

Conclusion

The updated analysis underscores the potential of PNI as an independent prognostic factor in RCC, warranting further exploration in clinical settings to enhance patient management.

References

  1. Bone Marrow Transplantation, 2023 -- 49th Annual Congress of the European Society for Blood and Marrow Transplantation: Patient Advocacy Poster Presentations
  2. The Role of the Advanced Lung Cancer Inflammation Index as a Prognostic Tool for Patients Undergoing Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma, 2025
  3. Gastric Cancer — The Role of Inflammatory and Nutritional Biomarkers in Predicting Survival Outcomes for Gastric Cancer Patients Undergoing Neoadjuvant Chemotherapy and D2 Lymphadenectomy, 2019
  4. Impact of Immunonutrition on Surgical Outcomes in Colorectal Cancer Patients: A Meta-Analytic Review, 2017
  5. EAU Guidelines on Renal Cell Carcinoma, 2025
  6. EAU Guidelines on Renal Cell Carcinoma, 2025
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