Evidence map›Paper›PMID 25633038›Full record

ArticleBritish journal of cancer2015

Ki67 index is an independent prognostic factor in epithelioid but not in non-epithelioid malignant pleural mesothelioma: a multicenter study.

B Ghanim, T Klikovits, M A Hoda, G Lang, I Szirtes, U Setinek, A Rozsas, F Renyi-Vamos, V Laszlo, M Grusch and 14 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

  1. Article
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  6. Review
  7. Article
  8. Malignant Pleural Mesothelioma-Does Ki67 Make the Grade?JTO clinical and research reports · 2021
    Article
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  10. Review
  11. Article
  12. Article
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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

24 authors.

B Ghanim1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] Institute of Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
T KlikovitsDepartment of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
M A Hoda1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] Institute of Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
G Lang1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] Department of Thoracic Surgery, Semmelweis University, 1085 Budapest, Hungary.
I Szirtes2nd Institute of Pathology, Semmelweis University, 1085 Budapest, Hungary.
U SetinekDivision of Pathology, Otto Wagner Hospital, 1145 Vienna Austria.
A Rozsas1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] National Koranyi Institute of TB and Pulmonology, 1121 Budapest, Hungary.
F Renyi-Vamos1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] National Institute of Oncology, 1525 Budapest, Hungary.
V LaszloDepartment of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
M GruschInstitute of Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
M FilipitsInstitute of Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
A ScheedDepartment of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
M JakopovicDepartment for Respiratory Diseases Jordanovac, School of Medicine, University of Zagreb, University Hospital Center, 10 000 Zagreb, Croatia.
M SamarzijaDepartment for Respiratory Diseases Jordanovac, School of Medicine, University of Zagreb, University Hospital Center, 10 000 Zagreb, Croatia.
L BrcicInstitute of Pathology, School of Medicine, University of Zagreb, 10 000 Zagreb, Croatia.
D Stancic-RokotovDepartment of Thoracic Surgery, University of Zagreb, 10 000 Zagreb, Croatia.
I KernUniversity Clinic of Respiratory and Allergic Diseases, 4204 Golnik, Slovenia.
A RozmanUniversity Clinic of Respiratory and Allergic Diseases, 4204 Golnik, Slovenia.
G DekanDepartment of Pathology, Medical University of Vienna, 1090 Vienna, Austria.
W KlepetkoDepartment of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
W BergerInstitute of Cancer Research and Comprehensive Cancer Center, Medical University of Vienna, 1090 Vienna, Austria.
T Glasz1] 2nd Institute of Pathology, Semmelweis University, 1085 Budapest, Hungary [2] National Koranyi Institute of TB and Pulmonology, 1121 Budapest, Hungary.
B Dome1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] Department of Thoracic Surgery, Semmelweis University, 1085 Budapest, Hungary [3] National Koranyi Institute of TB and Pulmonology, 1121 Budapest, Hungary [4] National Institute of Oncology, 1525 Budapest, Hungary.
B Hegedus1] Department of Surgery, Comprehensive Cancer Center, Division of Thoracic Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria [2] MTA-SE Molecular Oncology Research Group, Hungarian Academy of Sciences, 1091 Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstimating the prognosis in malignant pleural mesothelioma (MPM) remains challenging. Thus, the prognostic relevance of Ki67 was studied in MPM.

methodsKi67 index was determined in a test cohort of 187 cases from three centres. The percentage of Ki67-positive tumour cells was correlated with clinical variables and overall survival (OS). The prognostic power of Ki67 index was compared with other prognostic factors and re-evaluated in an independent cohort (n=98).

resultsPatients with Ki67 higher than median (>15%) had significantly (P<0.001) shorter median OS (7.5 months) than those with low Ki67 (19.1 months). After multivariate survival analyses, Ki67 proved to be-beside histology and treatment-an independent prognostic marker in MPM (hazard ratio (HR): 2.1, P<0.001). Interestingly, Ki67 was prognostic exclusively in epithelioid (P<0.001) but not in non-epithelioid subtype. Furthermore, Ki67 index was significantly lower in post-chemotherapy samples when compared with chemo-naive cases. The prognostic power was comparable to other recently published prognostic factors (CRP, fibrinogen, neutrophil-to-leukocyte ratio (NLR) and nuclear grading score) and was recapitulated in the validation cohort (P=0.048).

conclusionThis multicentre study demonstrates that Ki67 is an independent and reproducible prognostic factor in epithelioid but not in non-epithelioid MPM and suggests that induction chemotherapy decreases the proliferative capacity of MPM.

Indexed as

AdultAgedAged, 80 and overEpithelioid CellsFemaleHumansKi-67 AntigenLung NeoplasmsMaleMesotheliomaMesothelioma, MalignantMiddle AgedPleural NeoplasmsSurvival AnalysisTreatment OutcomeKi-67 Antigen

Identifiers

PMID25633038
PMCPMC4453963

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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.