Prognostic nutritional index, but not NLR or PLR, is linked to survival in multiple myeloma

To evaluate the prognostic significance of PNI, NLR, and PLR in predicting overall survival (OS) in newly diagnosed MM patients.

Low PNI (≤34.7) was found in 39.2% of patients and was associated with higher mortality (76.3% vs. 50%, p = 0.02).
Median OS was significantly shorter in the low PNI group (13.5 months) compared to the high PNI group (53.3 months, p = 0.007).
No significant differences in median OS were observed between low and high PLR or NLR groups.
High beta-2 microglobulin (β2M) levels were associated with a 3.19-fold increased risk of death (p = 0.048).

Remove unsupported conclusions and keep it factual.

Retrospective design may introduce bias.
Limited sample size may affect generalizability.
Exclusion of patients with active infections or other malignancies may limit findings.

Rephrase to avoid unsupported claims about prognostic significance.