Evidence map›Paper›PMID 29113384›Full record

ArticleOncotarget2017

Subclinical involvement of the liver is associated with prognosis in treatment naïve cancer patients.

Noemi Pavo, Markus Raderer, Georg Goliasch, Raphael Wurm, Guido Strunk, Anna Cho, Johannes F Novak, Heinz Gisslinger, Günther G Steger, Michael Hejna and 13 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  6. Anti-Inflammatory and Anti-Colon Cancer Activities of Mung Bean Grown in Burkina Faso.Evidence-based complementary and alternative medicine : eCAM · 2022
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  11. GDF-15 in solid vs non-solid treatment-naïve malignancies.European journal of clinical investigation · 2019
    Article
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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

23 authors at 2 institutions in 1 country.

Noemi PavoDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Markus RadererDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Georg GoliaschDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Raphael WurmDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Guido StrunkComplexity Research, Vienna, Austria.
Anna ChoDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Johannes F NovakDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Heinz GisslingerDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Günther G StegerDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Michael HejnaDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Wolfgang KöstlerDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Sabine Zöchbauer-MüllerDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Christine MarosiDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Gabriela KornekDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Leo AuerbachDepartment of Gynaecology, Medical University of Vienna, Vienna, Austria.
Sven Thorben SchneiderDepartment of Otorhinolaryngology - Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
Bernhard ParschalkDepartment of Otorhinolaryngology - Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
Werner ScheithauerDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Robert PirkerDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Barbara KiesewetterDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Richard PacherDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Christoph ZielinskiDepartment of Internal Medicine I, Division of Oncology and Hematology, Medical University of Vienna, Vienna, Austria.
Martin HülsmannDepartment of Internal Medicine II, Division of Cardiology, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATComplexity Science Hub Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutinely tested liver biomarkers as alanine aminotransferase (ALT), aspartate aminotransferase (AST), γ-glutamyltransferase (GGT), butyryl-cholinesterase (BChE), albumin and bilirubin are altered in distinct malignancies and hepatic metastases. This study aimed to investigate whether all liver parameters have the ability to predict long-term mortality in treatment naïve cancer patients but without a malignant hepatic involvement.

methodsWe prospectively enrolled 555 consecutive patients with primary diagnosis of cancer without prior anticancer therapy. BChE, albumin, AST, ALT, GGT and bilirubin as well as the inflammatory makers C-reactive protein (CRP), serum amyloid A (SAA) and interleukin-6 (IL-6) were determined. All-cause mortality was defined as primary endpoint.

resultsDuring a median follow-up of 25 (IQR16-31) months 186 (34%) patients died. All liver parameters were significantly associated with all-cause mortality (p < 0.001 for all). However, for patients without a malignant primary or secondary hepatic involvement (82%) only the functional parameters BChE and albumin remained significantly associated with the primary endpoint (crude HR per 1-IQR increase 0.61, 95%CI:0.49-0.77;

conclusionsDecreased serum BChE and albumin levels are associated with increased all-cause mortality in treatment-naïve cancer patients without a manifest malignant hepatic involvement irrespective of tumor entity or stage. This association may reflect progressing systemic inflammation and metabolic derangement with subclinical involvement of the liver.

Indexed as

biomarkercancerinflammationliverprognosis

Identifiers

PMID29113384
PMCPMC5655279
OpenAlexW2606157685

What OpenQuestion holds

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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.