Publication:
The Comprehensive Repair–Inflammation Index (CRII) predicts tooth extraction after chemoradiotherapy: a continuous and nonlinear modeling analysis

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SCHOOL OF MEDICINE
Upper Org Unit

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Topkan, E.
Somay, E.
Bascil, S.
Ozturk, D.

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eng

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N/A

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Abstract

Tooth extraction (TE) after chemoradiotherapy is common in locally advanced nasopharyngeal carcinoma (LA-NPC), yet its determinants remain unclear. We evaluated the association between the Comprehensive Repair–Inflammation Index (CRII), reflecting systemic inflammation and host repair capacity, and TE risk after concurrent chemoradiotherapy (CCRT). Methods: We conducted a retrospective analysis of 354 patients with LA-NPC treated with definitive CCRT. The primary endpoint was post-treatment TE (none vs. ≥1). CRII was calculated from pre-treatment laboratory parameters and analyzed continuously, with a breakpoint identified via segmented regression. Logistic regression and restricted cubic splines were used. Multivariable models adjusted for clinical variables and mandibular dosimetric parameters (mean dose, V50, V60). Results: TE occurred in 70.1% of patients. CRII was significantly higher in those with TE (147.5 vs. 122.0; p

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MDPI

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Health sciences, Medicine

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Journal of Clinical Medicine

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DOI

10.3390/jcm15103777

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