Evidence map›Paper›PMID 28764811›Full record

ArticleJournal of translational medicine2017

Survival impact of pre-treatment neutrophils on oropharyngeal and laryngeal cancer patients undergoing definitive radiotherapy.

Whitney A Sumner, William A Stokes, Ayman Oweida, Kiersten L Berggren, Jessica D McDermott, David Raben, Diana Abbott, Bernard Jones, Gregory Gan, Sana D Karam

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  4. Prognostic Significance of Pre-Treatment Neutrophil-Lymphocyte Ratio and Platelet-Lymphocyte Ratio in Head and Neck Malignancies.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
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  8. FLT3L Release by Natural Killer Cells Enhances Response to Radioimmunotherapy in Preclinical Models of HNSCC.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
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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 at 2 institutions in 1 country.

Whitney A SumnerDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA.
William A StokesDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA.
Ayman OweidaDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA.
Kiersten L BerggrenDepartment of Internal Medicine, Section of Radiation Oncology, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Jessica D McDermottDivision of Medical Oncology, Department of Medicine, University of Colorado School of Medicine, Aurora, USA.
David RabenDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA.
Diana AbbottDepartment of Biostatistics, University of Colorado School of Medicine, Aurora, CO, USA.
Bernard JonesDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA.
Gregory GanDepartment of Internal Medicine, Section of Radiation Oncology, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Sana D KaramDepartment of Radiation Oncology, University of Colorado School of Medicine, Aurora, CO, USA. sana.karam@ucdenver.edu.
University of Colorado Denver · USUniversity of New Mexico · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
6 · The paper itself

Abstract

backgroundSquamous cell carcinoma of the head and neck (HNSCC) represents an array of disease processes with a generally unfavorable prognosis. Inflammation plays an important role in tumor development and response to therapy. We performed a retrospective analysis of HNSCC patients to explore the relationship of the lymphocyte and neutrophil counts, the neutrophil-to-lymphocyte ratio (NLR) overall survival (OS), cancer-specific survival (CSS), local control (LC) and distant control (DC). MATERIALS/

methodsAll patients received definitive treatment for cancers of the oropharynx or larynx between 2006-2015. Neutrophil and lymphocyte counts were collected pre-, during-, and post-treatment. The correlations of patient, tumor, and biological factors to OS, CSS, LC and DC were assessed.

results196 patients met our inclusion criteria; 171 patients were Stage III or IV. Median follow-up was 2.7 years. A higher neutrophil count at all treatment time points was predictive of poor OS with the pre-treatment neutrophil count and overall neutrophil nadir additionally predictive of DC. Higher pre-treatment and overall NLR correlated to worse OS and DC, respectively.

conclusionA higher pre-treatment neutrophil count correlates to poor OS, CSS and DC. Lymphocyte counts were not found to impact survival or tumor control. Higher pre-treatment NLR is prognostic of poor OS.

Indexed as

AdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateLaryngeal NeoplasmsLymphocyte CountLymphocytesMaleMiddle AgedMultivariate AnalysisNeutrophilsOropharyngeal NeoplasmsPrognosisChemoradiationLarynxNeutrophilOropharynxSCC

Identifiers

PMID28764811
PMCPMC5539641
OpenAlexW2740308181

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.