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Several studies have adopted composite indices such as the Systemic Immune-Inflammation Index (SII = platelet neutrophil/lymphocyte), which integrates PLR and NLR components and outperforms either marker alone in predicting postoperative outcomes and survival in ESCC cohorts (98, 99)

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So, a lot of really interesting perspectives on kind of what the local needs are and what some of the state policy challenges and opportunities are right now too