Evidence map›Paper›PMID 29485980›Full record

ArticleBritish journal of cancer2018

Systemic immune-inflammation index in germ-cell tumours.

Michal Chovanec, Zuzana Cierna, Viera Miskovska, Katarina Machalekova, Katarina Kalavska, Katarina Rejlekova, Daniela Svetlovska, Dusan Macak, Stanislav Spanik, Karol Kajo and 4 more

Abstract read
In one paragraph

Article in British journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. CRP/prealbumin, a novel inflammatory index for predicting recurrence after radical resection in gastric cancer patients: post hoc analysis of a randomized phase III trial.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2019
    Trial
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  19. Biomarkers for Salvage Therapy in Testicular Germ Cell Tumors.International journal of molecular sciences · 2023
    Review
  20. Habitual physical activity modulates cardiometabolic health in long-term testicular cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    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

14 authors.

Michal ChovanecSecond Department of Oncology, Faculty of Medicine, Comenius University, Klenova 1, Bratislava 833 10, Slovakia.
Zuzana CiernaDepartment of Pathology, Faculty of Medicine, Comenius University, Sasinkova 4, Bratislava 811 08, Slovakia.
Viera MiskovskaFirst Department of Oncology, Faculty of Medicine, Comenius University, Kollarska 12, Bratislava 812 50, Slovakia.
Katarina MachalekovaDepartment of Pathology, St Elisabeth Cancer Institute, Heydukova 10, Bratislava 812 50, Slovakia.
Katarina KalavskaDepartment of Oncology, National Cancer Institute, Klenova 1, Bratislava 833 10, Slovakia.
Katarina RejlekovaSecond Department of Oncology, Faculty of Medicine, Comenius University, Klenova 1, Bratislava 833 10, Slovakia.
Daniela SvetlovskaTranslational Research Unit, Faculty of Medicine, Comenius University, Klenova 1, Bratislava 833 10, Slovakia.
Dusan MacakDepartment of Pathology, National Cancer Institute, Klenova 1, Bratislava 833 10, Slovakia.
Stanislav SpanikFirst Department of Oncology, Faculty of Medicine, Comenius University, Kollarska 12, Bratislava 812 50, Slovakia.
Karol KajoDepartment of Pathology, St Elisabeth Cancer Institute, Heydukova 10, Bratislava 812 50, Slovakia.
Pavel BabalDepartment of Pathology, Faculty of Medicine, Comenius University, Sasinkova 4, Bratislava 811 08, Slovakia.
Ugo De GiorgiDepartment of Oncology, Istituto Scientifico Q1 Romagnolo Q2 per lo Studio e la Cura dei Tumori (IRST) IRCCS, Via Piero Maroncelli 40, Meldola 470 14, Italy.
Michal MegoSecond Department of Oncology, Faculty of Medicine, Comenius University, Klenova 1, Bratislava 833 10, Slovakia.
Jozef MardiakSecond Department of Oncology, Faculty of Medicine, Comenius University, Klenova 1, Bratislava 833 10, Slovakia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated systemic immune-inflammation index (SII) and its association with patient outcome in germ-cell tumours (GCTs).

methodsTwo independent cohorts of patients were analysed; the discovery set (n=171) from a single institution and the validation set (n=181) previously included in a study evaluating PD-L1 in GCTs. The SII was calculated using platelet (P), neutrophil (N) and lymphocyte (L) counts before chemotherapy and correlated with survival using regression analyses and Kaplan-Meier method.

resultsIn the discovery cohort, the SII was associated with poor risk clinical features. Patients with low SII had significantly longer progression-free survival (HR=0.22, 95% CI 0.12-0.41, P<0.001) and overall survival (OS) (HR=0.16, 95% CI 0.08-0.32, P<0.001) compared to high SII. This index was independent of International Germ Cell Cancer Collaborative Group criteria in multivariable Cox regression analysis for OS and was validated in an independent cohort. When combining PD-L1 expression on tumour infiltrating lymphocytes (TILs) and SII, we identified three distinctive prognostic groups.

conclusionsHigh SII was associated with poor outcome in GCTs. Combination of PD-L1 positive TILs and SII could further refine prognosis in GCTs.

Indexed as

AdolescentAdultAgedB7-H1 AntigenBlood PlateletsHumansInflammationKaplan-Meier EstimateLymphocytesLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasms, Germ Cell and EmbryonalNeutrophilsProgression-Free SurvivalRegression AnalysisB7-H1 AntigenCD274 protein, human

Identifiers

PMID29485980
PMCPMC5877428

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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.