Evidence map›Paper›PMID 29264158›Full record

ArticleAsian journal of urology2016

Elevated preoperative neutrophil-to-lymphocyte ratio may be associated with decreased overall survival in patients with metastatic clear cell renal cell carcinoma undergoing cytoreductive nephrectomy.

Yoram S Baum, Dattatraya Patil, Jonathan H Huang, Stephanie Spetka, Mersiha Torlak, Peter T Nieh, Mehrdad Alemozaffar, Kenneth Ogan, Viraj A Master

Abstract read
In one paragraph

Article in Asian journal of urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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  14. The role of neutrophil-lymphocyte ratio as a prognostic indicator in patients undergoing nephrectomy for renal cell carcinoma.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2018
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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

9 authors.

Yoram S BaumDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Dattatraya PatilDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Jonathan H HuangDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Stephanie SpetkaDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Mersiha TorlakDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Peter T NiehDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Mehrdad AlemozaffarDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Kenneth OganDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Viraj A MasterDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveInflammatory serum markers have proven to be a powerful predictive tool of patient prognosis in cancer treatment for a wide variety of solid organ malignancies, predominantly in the context of localized disease. In this study we evaluated the preoperative neutrophil-to-lymphocyte ratio (NLR) as a predictive tool in patients with metastatic clear cell renal cell carcinoma (RCC).

methodsSixty-four patients with metastatic clear cell RCC undergoing nephrectomy were selected. Only patients with preoperative NLR were included for survival analysis. Patients were categorized into high and low NLR score determined by plotting the NLR ROC curve. Multivariable analysis was performed.

resultsMedian age was 60.8 years (38.2-81.2). Median follow-up time was 8.1 months (0.1-106.3). Fuhrman grade distribution was: 2 (3.1%) grade 1, 6 (9.4%) grade 2, 24 (37.5%) grade 3 and 32 (50.0%) grade 4. Median NLR score was 3.5 (1.4-31.0). NLR ≥ 4 was associated with decreased overall survival compared to NLR < 4 (

conclusionElevated preoperative NLR is associated with poor prognosis in patients with metastatic kidney cancer. Preoperative NLR is a useful tool, which can predict prognosis, stratify patients for postoperative surveillance, and help guide decisions for therapy.

Indexed as

Cytoreductive nephrectomyNeutrophil-to-lymphocyte ratioPrognosisRenal cancer

Identifiers

PMID29264158
PMCPMC5730745

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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.