Evidence map›Paper›PMID 28359298›Full record

ArticleBMC cardiovascular disorders2017

Monocyte/lymphocyte ratio predicts the severity of coronary artery disease: a syntax score assessment.

Hanhua Ji, Yang Li, Zeyuan Fan, Bo Zuo, Xinwen Jian, Li Li, Tao Liu

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 160 citations in OpenAlex.

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20 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

7 authors at 2 institutions in 1 country.

Hanhua JiDepartment of Cardiology, Civil Aviation General Hospital, Civil Aviation Clinical Medical College of Peking University, No.1, Gaojingjia, Chaoyang District, Beijing, 100100, China. hanhuaji@foxmail.com.
Yang LiDepartment of Cardiology, Civil Aviation General Hospital, Civil Aviation Clinical Medical College of Peking University, No.1, Gaojingjia, Chaoyang District, Beijing, 100100, China.
Zeyuan FanDepartment of Cardiology, Civil Aviation General Hospital, Civil Aviation Clinical Medical College of Peking University, No.1, Gaojingjia, Chaoyang District, Beijing, 100100, China.
Bo ZuoDepartment of Cardiology, Peking University Third Hospital, Beijing, 100100, China.
Xinwen JianDepartment of Cardiology, Civil Aviation General Hospital, Civil Aviation Clinical Medical College of Peking University, No.1, Gaojingjia, Chaoyang District, Beijing, 100100, China.
Li LiDepartment of Cardiology, Civil Aviation General Hospital, Civil Aviation Clinical Medical College of Peking University, No.1, Gaojingjia, Chaoyang District, Beijing, 100100, China.
Tao LiuDepartment of Cardiology, Civil Aviation General Hospital, Civil Aviation Clinical Medical College of Peking University, No.1, Gaojingjia, Chaoyang District, Beijing, 100100, China.
Aviation General Hospital · CNPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to explore whether monocyte to lymphocyte ratio (MLR) provides predictive value of the lesion severity in patients with coronary artery disease (CAD).

methodsFive hundred forty-three patients undergoing coronary angiography were analyzed in this retrospective study. Patients with coronary stenosis were divided into three groups on the basis of Syntax score. The control group consisted of patients with normal coronary arteries. MLR was calculated by dividing monocytes count by lymphocytes count obtained from routine blood examination. Multivariate logistic analysis was used to assess risk factors of CAD. Ordinal logistic regression analysis was used to assess the relationship between MLR and the lesion severity of coronary arteries.

resultsMLR was found to be an independent risk factor of the presence of CAD (OR: 3.94, 95% CI: 1.20-12.95) and a predictor of the lesion severity (OR: 2.05, 95% CI: 1.15-3.66). Besides, MLR was positively correlated with Syntax score(r = 0.437, p < 0.001). In the receiver-operating characteristic (ROC) curve analysis, MLR, with an optimal cut-off value of 0.25, predicted the severe coronary lesion with a sensitivity of 60.26% and specificity of 78.49%.

conclusionsMLR was an independent risk factor of the presence of CAD, and a predictor of the lesion severity. Compared to neutrophil to lymphocyte ratio (NLR), MLR has better performance to reflect the severity of coronary lesion.

Indexed as

Coronary AngiographyLymphocytesMonocytesAgedArea Under CurveCoronary Artery DiseaseCoronary StenosisCoronary VesselsFemaleHumansLogistic ModelsLymphocyte CountMaleMiddle AgedMultivariate AnalysisOdds RatioCoronary artery diseaseMonocyte to lymphocyte ratioSyntax score

Identifiers

PMID28359298
PMCPMC5374608
OpenAlexW2603842254

What OpenQuestion holds

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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.