Evidence map›Paper›PMID 28476041›Full record

ArticleOncotarget2017

A nomogram based on serum bilirubin and albumin levels predicts survival in gastric cancer patients.

Huiling Sun, Bangshun He, Zhenlin Nie, Yuqin Pan, Kang Lin, Hongxin Peng, Tao Xu, Xiaoxiang Chen, Xiuxiu Hu, Zijuan Wu and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

28 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Article
  3. Bilirubin metabolism in relation to cancer.Frontiers in oncology · 2025
    Review
  4. Computed tomography-based radiomics nomogram for predicting therapeutic response to neoadjuvant chemotherapy in locally advanced gastric cancer : A scale for treatment predicting.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Bilirubin as a metabolic hormone: the physiological relevance of low levels.American journal of physiology. Endocrinology and metabolism · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Prognostic value of preoperative serum bilirubin levels in ovarian cancer.American journal of translational research · 2020
    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

12 authors at 2 institutions in 1 country.

Huiling SunGeneral Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Bangshun HeGeneral Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Zhenlin NieLaboratory Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Yuqin PanGeneral Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Kang LinGeneral Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Hongxin PengSchool of Medicine, Southeast University, Nanjing, 210009, China.
Tao XuGeneral Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Xiaoxiang ChenSchool of Medicine, Southeast University, Nanjing, 210009, China.
Xiuxiu HuSchool of Medicine, Southeast University, Nanjing, 210009, China.
Zijuan WuFirst Affiliated Hospital, Nanjing Medical University, Nanjing, 210029, China.
Di WuSchool of Medicine, Yangzhou Occupational University, Yangzhou, 225009, China.
Shukui WangGeneral Clinical Research Center, Nanjing First Hospital, Nanjing Medical University, Nanjing, 210006, China.
Nanjing Medical University · CNSoutheast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decreases in serum bilirubin and albumin levels are associated with poorer prognoses in some types of cancer. Here, we examined the predictive value of serum bilirubin and albumin levels in 778 gastric cancer patients from a single hospital in China who were divided among prospective training and retrospective validation cohorts. X-tile software was used to identify optimal cutoff values for separating training cohort patients into higher and lower overall survival (OS) groups, based on total bilirubin (TBIL) and albumin levels. In univariate analysis, tumor grade and TNM stage were associated with OS. After adjusting for tumor grade and TNM stage, TBIL and albumin levels were still clearly associated with OS. These results were confirmed in the 299 patients in the validation cohort. A nomogram based on TBIL and albumin levels was more accurate than the TNM staging system for predicting prognosis in both cohorts. These results suggest that serum TBIL and albumin levels are independent predictors of OS in gastric cancer patients, and that an index that combines TBIL and albumin levels with the TNM staging system might have more predictive value than any of these measures alone.

Indexed as

NomogramsAgedBilirubinFemaleHumansMaleMiddle AgedMultivariate AnalysisNeoplasm GradingNeoplasm StagingPredictive Value of TestsProspective StudiesRetrospective StudiesSerum AlbuminStomach NeoplasmsSurvival AnalysisBilirubinSerum Albuminalbuminbilirubingastric cancernomogramprognosis

Identifiers

PMID28476041
PMCPMC5522307
OpenAlexW2607011701

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.