Evidence map›Paper›PMID 26730577›Full record

ArticleBritish journal of cancer2016

Tumour-infiltrating lymphocyte scores effectively stratify outcomes over and above p16 post chemo-radiotherapy in anal cancer.

Duncan C Gilbert, Eva Serup-Hansen, Dorte Linnemann, Estrid Høgdall, Charles Bailey, Jeff Summers, Hanne Havsteen, Gareth J Thomas

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. HPV-driven cancer: from epidemiology to the HPV-driven tumor board proposal, everything you wanted to know but were afraid to ask.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Recent Advances in the Management of Anal Cancer.Healthcare (Basel, Switzerland) · 2023
    Review
  15. Review
  16. Article
  17. The Role of Inflammation in Anal Cancer.Diseases (Basel, Switzerland) · 2022
    Review
  18. Article
  19. Article
  20. Article
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

8 authors at 5 institutions in 2 countries.

Duncan C GilbertSussex Cancer Centre, Royal Sussex County Hospital Eastern Road, Brighton, Sussex BN2 5BE, UK.
Eva Serup-HansenDepartment of Oncology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, DK-2730, Denmark.
Dorte LinnemannDepartment of Pathology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, DK-2730, Denmark.
Estrid HøgdallDepartment of Pathology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, DK-2730, Denmark.
Charles BaileyKent Oncology Centre, Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ, UK.
Jeff SummersKent Oncology Centre, Maidstone Hospital, Hermitage Lane, Maidstone, Kent ME16 9QQ, UK.
Hanne HavsteenDepartment of Oncology, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, DK-2730, Denmark.
Gareth J ThomasDepartment of Cellular Pathology, University Hospital Southampton NHS Foundation Trust, Tremona Road, Southampton SO16 6YD, UK.
Herlev Hospital · DKMaidstone Hospital · GBRoyal Sussex County Hospital · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority (90%) of anal cancers are human papillomavirus (HPV)-driven, identified using immunochemistry for p16. Compared with HPV- patients, those with HPV+ disease generally show improved survival, although relapse rates around 25% indicate a need for further stratification of this group.

methodsUsing two cohorts of anal cancer, previously characterised for p16, we assessed the prognostic value of tumour-infiltrating lymphocytes (TILs).

resultsTumour-infiltrating lymphocyte scores were used to stratify p16+ cases, where tumours with absent/low levels of TIL had a relapse-free rate of 63%, as opposed to 92% with high levels of TIL (log rank P=0.006).

conclusionsAssessment of TIL adds to p16 status in the prognosis of anal cancer following chemo-radiotherapy and provides evidence of the clinical importance of the immune response.

Indexed as

Anus NeoplasmsCarcinoma, Squamous CellChemoradiotherapyCohort StudiesCyclin-Dependent Kinase Inhibitor p16Disease-Free SurvivalFemaleHumansImmunohistochemistryKaplan-Meier EstimateLymphocytes, Tumor-InfiltratingMaleNeoplasm ProteinsPapillomavirus InfectionsPrognosisTreatment OutcomeCDKN2A protein, humanCyclin-Dependent Kinase Inhibitor p16Neoplasm Proteins

Identifiers

PMID26730577
PMCPMC4815814
OpenAlexW2224538875

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.