Evidence map›Paper›PMID 28811593›Full record

ArticleScientific reports2017

Prognostic value of routine laboratory variables in prediction of breast cancer recurrence.

Zhu Zhu, Ling Li, Zhong Ye, Tong Fu, Ye Du, Aiping Shi, Di Wu, Ke Li, Yifan Zhu, Chun Wang and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Elevated Cardiac Troponin to Detect Acute Cellular Rejection After Cardiac Transplantation: A Systematic Review and Meta-Analysis.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    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.

Zhu ZhuDepartment of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Ling LiDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Zhong YeDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Tong FuDepartment of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Ye DuDepartment of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Aiping ShiDepartment of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Di WuDepartment of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Ke LiDepartment of Emergency, The First Hospital of Jilin University, Changchun, Jilin, 130021, China.
Yifan ZhuDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
Chun WangDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, PA, 19107, USA. chun.wang@jefferson.edu.
Zhimin FanDepartment of Breast Surgery, The First Hospital of Jilin University, Changchun, Jilin, 130021, China. fanzhimn@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prognostic value of routine laboratory variables in breast cancer has been largely overlooked. Based on laboratory tests commonly performed in clinical practice, we aimed to develop a new model to predict disease free survival (DFS) after surgical removal of primary breast cancer. In a cohort of 1,596 breast cancer patients, we analyzed the associations of 33 laboratory variables with patient DFS. Based on 3 significant laboratory variables (hemoglobin, alkaline phosphatase, and international normalized ratio), together with important demographic and clinical variables, we developed a prognostic model, achieving the area under the curve of 0.79. We categorized patients into 3 risk groups according to the prognostic index developed from the final model. Compared with the patients in the low-risk group, those in the medium- and high-risk group had a significantly increased risk of recurrence with a hazard ratio (HR) of 1.75 (95% confidence interval [CI] 1.30-2.38) and 4.66 (95% CI 3.54-6.14), respectively. The results from the training set were validated in the testing set. Overall, our prognostic model incorporating readily available routine laboratory tests is powerful in identifying breast cancer patients who are at high risk of recurrence. Further study is warranted to validate its clinical application.

Indexed as

AgedBiomarkersBreast NeoplasmsFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMiddle AgedNeoplasm MetastasisNeoplasm Recurrence, LocalNeoplasm StagingPrognosisProportional Hazards ModelsReproducibility of ResultsSensitivity and SpecificityBiomarkers

Identifiers

PMID28811593
PMCPMC5557903

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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.