Evidence map›Paper›PMID 29244985›Full record

ArticleJournal of global oncology2017

Malignancy-Related Hypercalcemia in Advanced Solid Tumors: Survival Outcomes.

Ricardo Emanuel de Oliveira Ramos, Milena Perez Mak, Michel Fabiano Silva Alves, Gustavo Henrique Munhoz Piotto, Tiago Kenji Takahashi, Leonardo Gomes da Fonseca, Marina Cavalcanti Maroja Silvino, Paulo Marcelo Hoff, Gilberto de Castro

Open access · goldAbstract read
In one paragraph

Article in Journal of global oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

21 citing papers in PubMed, 49 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. [Severe hypercalcemia in intensive care medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  7. Article
  8. Article
  9. Article
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  11. Article
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  15. Hypercalcemia of Malignancy: Time to Pull the Brakes.Indian journal of surgical oncology · 2022
    Article
  16. Prognostic Scoring System Development for Malignant Spinal Cord Compression.Asian Pacific journal of cancer prevention : APJCP · 2022
    Article
  17. Review
  18. Review
  19. 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

9 authors at 1 institution in 1 country.

Ricardo Emanuel de Oliveira RamosAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Milena Perez MakAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Michel Fabiano Silva AlvesAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Gustavo Henrique Munhoz PiottoAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Tiago Kenji TakahashiAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Leonardo Gomes da FonsecaAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Marina Cavalcanti Maroja SilvinoAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Paulo Marcelo HoffAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Gilberto de CastroAll authors: Instituto do Cancer do Estado de São Paulo, São Paulo, Brazil.
Instituto do Câncer do Estado de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose Malignancy-related hypercalcemia (MRH) is associated with a dismal prognosis. The widespread use of bisphosphonates (BPs), availability of more effective drugs in cancer treatment, and improvement in supportive care might have attenuated its impact. Patients and Methods To assess overall survival (OS) of patients with MRH in a contemporary setting, we conducted a retrospective analysis of 306 patients with solid cancer hospitalized for symptomatic hypercalcemia. A multivariable Cox proportional hazards regression model was performed to evaluate possible prognostic factors associated with MRH. Results All patients had serum ionized calcium > 5.5 mg/dL or total Ca > 10.5 mg/dL. Median age was 57 years, and the majority had squamous cell carcinoma (62%) and Eastern Cooperative Oncology Group performance status > 1 (96%). Head and neck was the most frequent primary site (28%). Forty-five percent had no previous chemotherapy (CT), and subsequent CT was administered to 32%. Eighty-three percent received BP with no survival gain. Median OS was 40 (95% CI, 33 to 47) days. Patients with a performance status > 2, altered mental status, C-reactive protein > 30 mg/L, albumin < 2.5 g/dL, or body mass index < 18 kg/m

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHumansHypercalcemiaMaleMiddle AgedNeoplasmsPrognosisSurvival AnalysisYoung Adult

Identifiers

PMID29244985
PMCPMC5735968
OpenAlexW2599481556

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.