Evidence map›Paper›PMID 26864695›Full record

ArticleJournal of cancer research and clinical oncology2016

Comparison of the Glasgow Prognostic Score (GPS) and the modified Glasgow Prognostic Score (mGPS) in evaluating the prognosis of patients with operable and inoperable non-small cell lung cancer.

Heng Fan, Zhen-Yi Shao, Yuan-Yuan Xiao, Zhi-Hui Xie, Wen Chen, Hua Xie, Guo-You Qin, Nai-Qing Zhao

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of cancer research and clinical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 7 pooled it
3.6field-weighted citation impact, top 6% 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

54 citing papers in PubMed, 7 syntheses or guidelines pooled it, 74 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Heng FanDepartment of Biostatistics, School of Public Health, Fudan University, No. 130 Dong'an Road, Xuhui District, Shanghai, 200032, People's Republic of China.
Zhen-Yi ShaoInformation Centre, Shanghai Municipal Commission of Health and Family Planning, No. 223 Hankou Road, Huangpu District, Shanghai, People's Republic of China.
Yuan-Yuan XiaoSchool of Public Health, Kunming Medical University, No. 183 West Renmin Road, Yunnan, People's Republic of China.
Zhi-Hui XieInformation Centre, Shanghai Municipal Commission of Health and Family Planning, No. 223 Hankou Road, Huangpu District, Shanghai, People's Republic of China.
Wen ChenInformation Centre, Shanghai Municipal Commission of Health and Family Planning, No. 223 Hankou Road, Huangpu District, Shanghai, People's Republic of China.
Hua XieInformation Centre, Shanghai Municipal Commission of Health and Family Planning, No. 223 Hankou Road, Huangpu District, Shanghai, People's Republic of China.
Guo-You QinDepartment of Biostatistics, School of Public Health, Fudan University, No. 130 Dong'an Road, Xuhui District, Shanghai, 200032, People's Republic of China.
Nai-Qing ZhaoDepartment of Biostatistics, School of Public Health, Fudan University, No. 130 Dong'an Road, Xuhui District, Shanghai, 200032, People's Republic of China. nqzhao@126.com.
Shanghai Municipal Commission of Health and Family Planning · CNFudan University · CNKunming Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Glasgow Prognostic Score (GPS) and modified Glasgow Prognostic Score (mGPS) are shown to be reliable prognostic indexes in patients with operable and inoperable non-small cell lung cancer (NSCLC). Considering the difference between the two indexes lies in whether hypoalbuminemia without an elevated C-reactive protein (CRP) is associated with worse survival, this study aims to evaluate the prognostic performance of hypoalbuminemia in patients without an elevated CRP and to compare the prognostic value of GPS and mGPS in patients with operable and inoperable NSCLC.

methodsThe data of 2988 patients were retrospectively collected from the Shanghai Health Information Network. Univariate and multivariate Cox regression was performed to investigate the prognostic effect of albumin, CRP, GPS and mGPS. Restricted cubic spline was also performed to evaluate the relationship between albumin and hazard ratio. Kaplan-Meier survival curves were estimated and compared using the log-rank test. Additional discriminative ability of GPS and of mGPS was evaluated using the area under the curve and Harrell's concordance index.

resultsHypoalbuminemia was associated with worse survival in both operable and inoperable patients without an elevated CRP. The Kaplan-Meier survival curve of hypoalbuminemic patients without an elevated CRP was more close to the curve of patients with an elevated CRP and a normal albumin than to the curve of patients with neither of these abnormalities. Multivariate analysis, AUC and C-index all indicated that GPS had a higher prognostic value than mGPS.

conclusionsHypoalbuminemia was associated with worse survival in patients with or without an elevated CRP. GPS was superior to mGPS in predicting survival in operable and inoperable NSCLC patients.

Indexed as

AgedCarcinoma, Non-Small-Cell LungC-Reactive ProteinFemaleHumansLung NeoplasmsMaleMiddle AgedPrognosisSerum AlbuminC-Reactive ProteinSerum AlbuminAlbuminC-reactive proteinGlasgow Prognostic ScoreModified Glasgow Prognostic ScoreNon-small cell lung cancerSurvival

Identifiers

PMID26864695
PMCPMC11819379
OpenAlexW2260464036

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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.