Evidence map›Paper›PMID 29435759›Full record

ArticleWiener klinische Wochenschrift2018

Prognostic value of preoperative neutrophil-to-lymphocyte ratio in Crohn's disease.

Stanislaus Argeny, Anton Stift, Michael Bergmann, Martina Mittlböck, Svenja Maschke, Yushan Yang, Praminthra Chitsabesan, Stefan Riss

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Wiener klinische Wochenschrift, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04558658 (Evaluation of Neutrophil to Lymphocyte Ratio in Inflammatory Bowel Disease in Assiut University Hospitals), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 27% 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.

NCT04558658 unknown statusnot on this mapstarted 2020, after this paper: background citation

Evaluation of Neutrophil to Lymphocyte Ratio in Inflammatory Bowel Disease in Assiut University Hospitals

Typeobservational_patient_registrySponsorAssiut UniversityRan2020 to 2022Enrolled50ConditionsInflammatory Bowel DiseasesArmsComplete Blood Count
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

8 authors at 2 institutions in 2 countries.

Stanislaus ArgenyDepartment of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Anton StiftDepartment of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Michael BergmannDepartment of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Martina MittlböckCenter for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, 1090, Vienna, Austria.
Svenja MaschkeDepartment of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Yushan YangDepartment of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Praminthra ChitsabesanNHS Foundation Trust, York Teaching Hospital, YO31 8HE, York, UK.
Stefan RissDepartment of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. stefan.riss@meduniwien.ac.at.
Medical University of Vienna · ATYork Teaching Hospital NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Neutrophil-to-lymphocyte-ratio has recently gained increased attention as a prognostic marker for malignant disease and short term outcomes. There is little data available in patients with Crohn's disease, thus the present study was conducted to correlate preoperative Neutrophil-to-lymphocyte-ratio values with disease phenotype and postoperative course.

methodsWe comprised 373 patients, who underwent intestinal resection for symptomatic Crohn's disease at an academic tertiary referral centre between 2000 and 2014. Preoperative Neutrophil-to-lymphocyte-ratio values were calculated and analyzed in regard to disease phenotype and 30-day morbidity rate. All relevant data were obtained from the institutional database and individual chart review.

resultsMale patients had significantly higher preoperative Neutrophil-to-lymphocyte-ratio values compared to female patients (5 vs. 4; p = 0.0075). A higher Neutrophil-to-lymphocyte-ratio was also found in patients with an acute indication for surgery (6.15 vs. 4.3; p = 0.0374), presenting with abscesses (5.36 vs. 4.28; p = 0.0254), inflammatory masses (5.23 vs. 4.08; p = 0.0294) or malignancy in the resected specimen (9.06 vs. 4.35, p = 0.0231). Surprisingly, patients developing postsurgical complications showed significantly lower Neutrophil-to-lymphocyte-ratio values (3.77 vs. 4.67; p = 0.0461).

conclusionsElevated preoperative Neutrophil-to-lymphocyte-ratio in symptomatic Crohn's disease is not predictive for complications. However, Neutrophil-to-lymphocyte-ratio showed a significant correlation with specific disease phenotypes. Most strikingly, Neutrophil-to-lymphocyte-ratio was highly elevated in patients with a colorectal cancer in the resected specimen, which needs to be addressed in future studies.

Indexed as

Crohn DiseaseLymphocytesNeutrophilsAdolescentAdultAgedAged, 80 and overBiomarkersFemaleHumansLeukocyte CountMaleMiddle AgedPrognosisRetrospective StudiesTumor Necrosis Factor-alphaBiomarkersTumor Necrosis Factor-alphaCancerComplicationCrohn’s diseaseNeutrophil-to-lymphocyte ratioSurgery

Identifiers

PMID29435759
PMCPMC6008361
OpenAlexW2793665102

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Registered trials

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.