Evidence map›Paper›PMID 29511262›Full record

ArticleScientific reports2018

Neutrophil-to-lymphocyte Ratio (NLR) as a predictor for recurrence in patients with stage III melanoma.

Junjie Ma, James Kuzman, Abhijit Ray, Benjamin O Lawson, Brian Khong, Si Xuan, Andrew W Hahn, Hung T Khong

Abstract readEvaluation Study
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Targeting neutrophils for cancer therapy.Nature reviews. Drug discovery · 2025
    Review
  4. Observational
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  10. Dormancy of cutaneous melanoma.Cancer cell international · 2024
    Review
  11. Unveiling the role of osteosarcoma-derived secretome in premetastatic lung remodelling.Journal of experimental & clinical cancer research : CR · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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

8 authors.

Junjie MaDepartment of Pharmacotherapy, University of Utah College of Pharmacy, Salt Lake City, UT, USA.
James KuzmanSanford USD Medical Center, Sioux Falls, SD, USA.
Abhijit RayDivision of Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Benjamin O LawsonHonorHealth Scottsdale Shea Medical Center, Scottsdale, AZ, USA.
Brian KhongAdventist Health White Memorial, Los Angeles, CA, USA.
Si XuanLeonard D. Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA, USA.
Andrew W HahnDepartment of Internal Medicine, University of Utah School of Medicine, Salt Lake City, UT, USA.
Hung T KhongDepartment of Breast Oncology, Moffitt Cancer Center, Tampa, FL, USA. Hung.Khong@moffitt.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neutrophil-to-lymphocyte ratio is a strong predictor for overall survival and disease free survival in many cancers. Our study is the first investigation aiming to determine the predictive value of neutrophil-to-lymphocyte ratio on prognosis of patients with stage III melanoma. This retrospective study utilized a cohort of 107 patients with stage III melanoma treated at Huntsman Cancer Institute, University of Utah, from May 2002 to March 2016. The optimal cutoff of neutrophil-to-lymphocyte ratio was determined by the significance of log-rank tests. A total of 97 log-rank tests were conducted to find the optimal cutoff. Disease free survival was assessed using the Kaplan-Meier method, and univariable and multivariable Cox models were applied to evaluate the predictive value of neutrophil-to-lymphocyte ratio. 2.5 was identified as the optimal cutoff. Kaplan-Meier curve showed that the disease free survival rate of the low value group was significantly higher compared to that of high value group. After adjusting for confounders and other prognostic factors, the neutrophil-to-lymphocyte ratio ≥ 2.5 remained a strong predictor for disease recurrence in patients with stage III melanoma.

Indexed as

RecurrenceAdultAgedFemaleHumansLeukocyte CountMaleMelanomaMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesSurvival AnalysisUtahYoung Adult

Identifiers

PMID29511262
PMCPMC5840418

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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.