Multivariate analysis confirmed that baseline malnutrition (p = 0.004) and VAS score for appetite loss (p = 0.0104), in addition to albumin < 35 g/L (p < 0.0001) and neutrophil/lymphocyte ratio >3 (p = 0.0007) were independently associated with death of non-metastatic patients at follow-up (Figure 4A,B). Here, ALB is linked to nutritional deficiency disease.