Evidence map›Paper›PMID 27510632›Full record

ArticleScientific reports2016

Pretreatment neutrophil-to-lymphocyte ratio and its dynamic changes are associated with the overall survival in advanced cancer patients undergoing palliative care.

Weiwei Zhao, Zhenyu Wu, Yintao Li, Huixun Jia, Menglei Chen, Xiaoli Gu, Minghui Liu, Zhe Zhang, Peng Wang, Wenwu Cheng

Abstract 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  6. The Relationship of Neutrophil to Lymphocyte Ratio with Vitreomacular Traction Syndrome.Medical hypothesis, discovery & innovation ophthalmology journal · 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

10 authors.

Weiwei ZhaoDepartment of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China.
Zhenyu WuDepartment of Biostatistics, School of Public Health, Key Laboratory of Public Health Safety, Ministry of Education, Fudan University, Shanghai, China.
Yintao LiDepartment of Oncology, Shandong Cancer Hospital, Shandong Academy of Medical Sciences, Jinan, China.
Huixun JiaDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Menglei ChenDepartment of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China.
Xiaoli GuDepartment of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China.
Minghui LiuDepartment of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China.
Zhe ZhangDepartment of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China.
Peng WangDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Wenwu ChengDepartment of Integrated Therapy, Fudan University Shanghai Cancer Center, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to investigate the prognostic value of pretreatment NLR and its dynamic changes responsive to palliative care in advanced cancer patients. The study was retrospectively assessed in 378 consecutive advanced cancer patients receiving palliative care, and in an extended follow-up study of 106 of those patients. The cutoff value of pretreatment NLR was determined to be 3.0. In the 378 advanced cancer patients, 89 had pretreatment NLR ≤ 3, and 289 had an NLR > 3. Univariate and multivariate analyses showed that tumor stage, palliative care, albumin level, and pretreatment NLR (HR: 1.514, 95% CI: 1.125~2.038, P = 0.006) were independent prognostic indicators of OS. Moreover, in the follow-up cohort of 106 readmitted patients, 43 patients achieved a decreased NLR after palliative care, while the remaining 63 patients showed an increased NLR. Univariate and multivariate analyses showed that an increase in NLR was significantly associated with a poor survival (HR: 2.506, 95% CI: 1.474~4.261, P = 0.001). In conclusion, pretreatment NLR and changes in NLR independently predicted OS in advanced cancer patients undergoing palliative care. Incorporating NLR into clinical practice may better inform the prognosis and therapy decisions of advanced cancer patients in palliative settings.

Indexed as

AdolescentAdultAgedAged, 80 and overDisease-Free SurvivalFemaleFollow-Up StudiesHumansLymphocyte CountMaleMiddle AgedNeoplasmsNeoplasm StagingNeutrophilsPalliative CarePrognosis

Identifiers

PMID27510632
PMCPMC4980771

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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.