a nonsignificant trendp = 0.0137
ELN ≤ 14 and ELN > 31 showed contrasting prognostic trends: ELN ≤ 14 was significantly associated with worse survival, whereas ELN > 31 showed a nonsignificant trend toward better survival (ELN ≤ 14: HR = 1.71, 95% CI: 1.12–2.62, p = 0.0137; ELN > 31: HR = 0.67, 95% CI: 0.33–1.37, p = 0.2737) (Figure 4c ).