ALB and neoplasm: Other parameters for poor prognosis were female sex (HR = 1.6, 95% CI 1.1–2.4, p = 0.017), serum albumin < 35 g/L (HR = 1.5, 95% CI 1.1–2.2, p = 0.03), primary tumour location of the gallbladder (HR 2.3, 95% CI 1.4—3.5, p < 0.001) and high dNLR (HR 1.8, 95% CI 1.1–3.0, p = 0.031).