Evidence map›Paper›PMID 25884918›Full record

ArticleBMC cancer2015

Pre-treatment neutrophil to lymphocyte ratio may be a useful tool in predicting survival in early triple negative breast cancer patients.

Mirco Pistelli, Mariagrazia De Lisa, Zelmira Ballatore, Miriam Caramanti, Alessandra Pagliacci, Nicola Battelli, Francesca Ridolfi, Matteo Santoni, Elena Maccaroni, Raffaella Bracci and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 3% of its field
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

78 citing papers in PubMed, 4 syntheses or guidelines pooled it, 120 citations in OpenAlex.

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  9. Multifaceted Roles of IL-26 in Physiological and Pathological Conditions.International journal of molecular sciences · 2025
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  18. The prognostic value of neutrophil-to-lymphocyte ratio inAnnals of translational medicine · 2023
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18 more citing papers are in PubMed but not listed here.

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

14 authors at 1 institution in 1 country.

Mirco PistelliClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. mirco.pistelli@alice.it.
Mariagrazia De LisaClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. mgrazia.delisa@gmail.com.
Zelmira BallatoreClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. zelmira.ballatore@gmail.com.
Miriam CaramantiClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. miriam.caramanti@libero.it.
Alessandra PagliacciClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. alessandrapagliacci@virgilio.it.
Nicola BattelliClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. battellin@gmail.com.
Francesca RidolfiClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. francesca.ridolfi1@gmail.com.
Matteo SantoniClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. mattymo@alice.it.
Elena MaccaroniClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. elena.maccaroni@live.it.
Raffaella BracciClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. raffaellabracci@libero.it.
Alfredo SantinelliAnatomia Patologica, AO Ospedali Riuniti-Ancona, Università Politecnica delle Marche, Ancona, Italy. a.santinelli@univpm.it.
Tommasina BiscottiAnatomia Patologica, AO Ospedali Riuniti-Ancona, Università Politecnica delle Marche, Ancona, Italy. biscottit@libero.it.
Rossana BerardiClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. r.berardi@univpm.it.
Stefano CascinuClinica di Oncologia Medica, Università Politecnica delle Marche, Ancona, AO Ospedali Riuniti-Ancona, Italy. cascinu@yahoo.com.
Marche Polytechnic University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a growing body of evidence that immune response plays a large role in cancer outcome. The neutrophil to lymphocyte ratio (NLR) has been used as a simple parameter of systemic inflammation in several tumors. The purpose was to investigate the association between pre-treatment NLR, disease-free survival and overall survival in patients with early triple negative breast cancer (TNBC).

methodsWe reviewed the records of patients with stage I-III TNBC at our Institution from 2006 to 2012. The association between pre-treatment NLR and survival was analyzed. The difference among variables was calculated by chi-square test. DFS and OS were estimated using Kaplan-Meier method. Cox analysis was performed to analyze clinical parameters for their prognostic relevance.

resultsA total of 90 patients were eligible. There was no significant correlation among pre-treatment NLR and various clinical pathological factors. Patients with NLR higher than 3 showed significantly lower DFS (p = 0.002) and OS (p = 0.009) than patients with NLR equal or lower than 3. The Cox proportional multivariate hazard model revealed that higher pre-treatment NLR was independently correlated with poor DFS and OS, with hazard ratio 5.15 (95% confidence interval [CI] 1.11-23.88, p = 0.03) and 6.16 (95% CI 1.54-24.66, p = 0.01) respectively.

conclusionOur study suggests that pre-treatment NLR may be associated with DFS and OS patients with early TNBC. Further validation and a feasibility study are required before it can be considered for clinical use.

Indexed as

AdultAgedCarcinoma, Ductal, BreastDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateLymphatic MetastasisLymphocyte CountLymphocytesMiddle AgedMultivariate AnalysisNeutrophilsPrognosisProportional Hazards ModelsRetrospective Studies

Identifiers

PMID25884918
PMCPMC4428113
OpenAlexW2062425552

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.