Evidence map›Paper›PMID 28514756›Full record

ArticleOncotarget2017

Elevated CRP levels predict poor outcome and tumor recurrence in patients with thymic epithelial tumors: A pro- and retrospective analysis.

Stefan Janik, Christine Bekos, Philipp Hacker, Thomas Raunegger, Bahil Ghanim, Elisa Einwallner, Lucian Beer, Walter Klepetko, Leonhard Müllauer, Hendrik J Ankersmit and 1 more

Abstract 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 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
–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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

11 authors.

Stefan JanikDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Christine BekosDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Philipp HackerDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Thomas RauneggerDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Bahil GhanimDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Elisa EinwallnerDepartment of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.
Lucian BeerChristian Doppler Laboratory for Diagnosis and Regeneration of Cardiac and Thoracic Diseases, Medical University of Vienna, Vienna, Austria.
Walter KlepetkoDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Leonhard MüllauerClinical Institute of Pathology, Medical University of Vienna, Vienna, Austria.
Hendrik J AnkersmitDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.
Bernhard MoserDepartment of Thoracic Surgery, Division of Surgery, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveScarce information exists on the pathogenesis of thymic epithelial tumors (TETs), comprising thymomas, thymic carcinomas (TCs) and neuroendocrine tumors. C-reactive protein (CRP) increases during certain malignancies. We aimed to investigate the clinical relevance of CRP in patients with TETs.

resultsPretreatment CRP serum concentrations were significantly elevated in patients with TETs, particularly TCs and metastatic TETs. After complete tumor resection CRP serum concentrations were decreased (p = 0.135) but increased significantly in case of tumor recurrence (p = 0.001). High pretreatment CRP was associated with significantly worse 5- and 10-year freedom-from recurrence (FFR) (p = 0.010) and was a negative prognostic factor for FFR (HR 3.30; p = 0.015). IL-6 (not IL-1β) serum concentrations were significantly elevated in patients with TETs but we did not detect CRP tissue expression in TETs. MATERIALS AND

methodsPretreatment CRP serum concentrations were retrospectively analyzed from 128 surgical patients (1990-2015). In a subset of 68 patients longitudinal analysis of CRP was performed. Additionally, immunohistochemical tumor CRP expression and serum concentrations of interleukin (IL)-6 and IL-1β were measured.

conclusionsHence, diagnostic measurement of serum CRP might be useful to indicate highly aggressive TETs and to make doctors consider tumor recurrences during oncological follow-up.

Indexed as

Biomarkers, TumorC-Reactive ProteinAdultAgedCase-Control StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedMyasthenia GravisNeoplasm MetastasisNeoplasm Recurrence, LocalNeoplasms, Glandular and EpithelialNeoplasm StagingPrognosisBiomarkers, TumorC-Reactive ProteinCRPprognosisthymic carcinomathymic epithelial tumorsthymoma

Identifiers

PMID28514756
PMCPMC5564546

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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.