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Objective: The prognostic function of inflammation index as neutrophil-to-lymphocyte ratio (NLR) in colorectal cancer (CRC)remains controversial.We conducted this meta-analysis to determine the predicting value of NLR in the outcome of CRC patients.Methods: A meta-analysis of 12 studies (15 cohorts) was performed to evaluate the association between NLR and overall survival (OS),as well as progression-free survival (PFS), in CRC patients.In addition, the relationship between NLR and clinicopathological parameters was assessed.Hazard ratio (HR) or odds ratio (OR)with 95% confidence interval (CI) was used as the effect size estimate.