Evidence map›Paper›PMID 23828393›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2013

Interleukin-6 but not tumour necrosis factor-alpha predicts survival in patients with advanced cancer.

Sang-Yeon Suh, Youn Seon Choi, Chang Hwan Yeom, Sang Mi Kwak, Ho Min Yoon, Dae Gyun Kim, Su-Jin Koh, Jeanno Park, Myung Ah Lee, Yong Joo Lee and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Interleukin 6 Drives Durable T Cell-Mediated Immunity to Pancreatic Cancer.Cellular and molecular gastroenterology and hepatology · 2026
    Article
  5. Article
  6. Review
  7. Review
  8. Cancer Cachexia.Advances in experimental medicine and biology · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Biomarkers for Cancer Cachexia: A Mini Review.International journal of molecular sciences · 2021
    Review
  19. Review
  20. The Microbiota and Cancer Cachexia.International journal of molecular sciences · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Sang-Yeon SuhDepartment of Medicine, Dongguk University, Seoul, South Korea.
Youn Seon Choi
Chang Hwan Yeom
Sang Mi Kwak
Ho Min Yoon
Dae Gyun Kim
Su-Jin Koh
Jeanno Park
Myung Ah Lee
Yong Joo Lee
Ah-Ram Seo
Hong-Yup Ahn
Eunji Yim

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate the prognostic role of interleukin-6 (IL-6) and tumour necrosis factor-alpha (TNF-α) in the survival of patients with advanced cancer.

methodsIn this prospective cohort study between three hospice and palliative care centres in South Korea, we followed 98 advanced cancer patients until death or the end of the study. Approximately 60 % of the patients had poor functional status (Eastern Cooperative Oncology Group score ≥3). We investigated the symptoms of cancer cachexia anorexia syndrome, possible cytokine-related confounders such as infection and medication records. Influence from clinical variables was adjusted using the Cox proportional hazard model.

resultsThe median survival time was 27 days. On multivariate analysis, elevated IL-6 (hazard ratio, 2.139; p = 0.003) was found to be an independent significant prognostic factor. TNF-α was not a significant factor. Poor performance status and male gender were also independently related to shortened survival.

conclusionsIL-6 level can be a useful indicator of survival time of patients with advanced cancer at the very end of life. In contrast, the prognostic role of TNF-α requires further study.

Indexed as

AgedAnorexiaCachexiaFemaleHospicesHumansInterleukin-6Kaplan-Meier EstimateMaleMiddle AgedNeoplasmsPalliative CarePredictive Value of TestsPrognosisProportional Hazards ModelsProspective StudiesIL6 protein, humanInterleukin-6Tumor Necrosis Factor-alpha

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.