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Article / Publication Details AbstractIntroduction: This study evaluated the prognostic value of a sustained high geriatric nutritional risk index (GNRI) during first-line chemotherapy for patients with metastatic urothelial carcinoma (mUC). Methods: Between January 2018 and February 2022, 123 patients received platinum-based chemotherapy at Nagoya City University Hospital and affiliated institutions. Of these, 118 eligible patients that showed an Eastern Cooperative Oncology Group performance status (ECOG–PS) between 0 and 2 were retrospectively examined. Based on body mass index and serum albumin levels, GNRI was calculated immediately before and after the first primary chemotherapy cycle. Patients were divided into two groups based on GNRI: GNRI sustained 92 in sustainable (n=63), and GNRI
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