Evidence map›Paper›PMID 27063994›Full record

ArticleScientific reports2016

The correlation between LDH serum levels and clinical outcome in advanced biliary tract cancer patients treated with first line chemotherapy.

Luca Faloppi, Michela Del Prete, Andrea Casadei Gardini, Daniele Santini, Nicola Silvestris, Maristella Bianconi, Riccardo Giampieri, Martina Valgiusti, Oronzo Brunetti, Alessandro Bittoni and 5 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 35 citations in OpenAlex.

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  15. Metabolic rearrangements in primary liver cancers: cause and consequences.Nature reviews. Gastroenterology & hepatology · 2019
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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

15 authors at 6 institutions in 1 country.

Luca FaloppiDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Michela Del PreteDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Andrea Casadei GardiniIRCCS, Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori, Meldola, Italy.
Daniele SantiniDepartment of Medical Oncology, Campus Bio-Medico University of Rome, Roma, Italy.
Nicola SilvestrisMedical Oncology Unit, Cancer Institute "Giovanni Paolo II", Bari, Italy.
Maristella BianconiDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Riccardo GiampieriDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Martina ValgiustiIRCCS, Istituto Scientifico Romagnolo per lo Studio e la cura dei Tumori, Meldola, Italy.
Oronzo BrunettiMedical Oncology Unit, Cancer Institute "Giovanni Paolo II", Bari, Italy.
Alessandro BittoniDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Kalliopi AndrikouDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Eleonora LaiMedical Oncology, University Hospital, University of Cagliari, Cagliari, Italy.
Alessandra DessìMedical Oncology, University Hospital, University of Cagliari, Cagliari, Italy.
Stefano CascinuDepartment of Medical Oncology, AOU "Ospedali Riuniti" - Università Politecnica delle Marche, Ancona, Italy.
Mario ScartozziMedical Oncology, University Hospital, University of Cagliari, Cagliari, Italy.
Marche Polytechnic University · ITUniversity of Cagliari · ITIstituto Tumori Bari · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITUniversità Campus Bio-Medico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

LDH may represent an indirect marker of neo-angiogenesis and worse prognosis in many tumour types. We assessed the correlation between LDH and clinical outcome for biliary tract cancer (BTC) patients treated with first-line chemotherapy. Overall, 114 advanced BTC patients treated with first-line gemcitabine and cisplatin were included. Patients were divided into two groups (low vs. high LDH), according to pre-treatment LDH values. Patients were also classified according to pre- and post-treatment variation in LDH serum levels (increased vs. decreased). Median progression free survival (PFS) was 5.0 and 2.6 months respectively in patients with low and high pre-treatment LDH levels (p = 0.0042, HR = 0.56, 95% CI: 0.37-0.87). Median overall survival (OS) was 7.7 and 5.6 months (low vs. high LDH) (p = 0.324, HR = 0.81, 95% CI: 0.54-1.24). DCR was 71% vs. 43% (low vs. high LDH) (p = 0.002). In 38 patients with decreased LDH values after treatment, PFS and OS were respectively 6.2 and 12.1 months, whereas in 76 patients with post-treatment increased LDH levels, PFS and OS were respectively 3.0 and 5.1 months (PFS: p = 0.0009; HR = 0.49; 95% IC: 0.33-0.74; OS: p < 0.0001; HR = 0.42; 95% IC: 0.27-0.63). Our data seem to suggest that LDH serum level may predict clinical outcome in BTC patients receiving first-line chemotherapy.

Indexed as

AdultAgedAntineoplastic AgentsBiliary Tract NeoplasmsBiomarkers, TumorCisplatinDeoxycytidineDisease-Free SurvivalDrug Administration ScheduleFemaleGemcitabineHumansKaplan-Meier EstimateL-Lactate DehydrogenaseMaleMiddle AgedAntineoplastic AgentsBiomarkers, TumorCisplatinDeoxycytidineGemcitabineL-Lactate Dehydrogenase

Identifiers

PMID27063994
PMCPMC4827080
OpenAlexW2325900794

What OpenQuestion holds

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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.