Evidence map›Paper›PMID 29732389›Full record

ArticleBladder cancer (Amsterdam, Netherlands)2018

The Prognostic Role of the Change in Neutrophil-to-Lymphocyte Ratio During Neoadjuvant Chemotherapy in Patients with Muscle-Invasive Bladder Cancer: A Retrospective, Multi-Institutional Study.

Jeenan Kaiser, Haocheng Li, Scott A North, Raya Leibowitz-Amit, Jo-An Seah, Nisha Morshed, Caroline Chau, Richard Lee-Ying, Daniel Y C Heng, Srikala Sridhar and 2 more

Abstract read
In one paragraph

Article in Bladder cancer (Amsterdam, Netherlands), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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  6. Loss ofBladder cancer (Amsterdam, Netherlands) · 2022
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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

12 authors.

Jeenan KaiserTom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.
Haocheng LiDepartments of Oncology and Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Scott A NorthCross Cancer Institute, Edmonton, AB, Canada.
Raya Leibowitz-AmitSheba Medical Center, Ramat-Gan, Israel.
Jo-An SeahPrincess Margaret Cancer Centre, University Health Network, Division of Oncology and Haematology, Toronto, ON, Canada.
Nisha MorshedCancer Sciences Unit, University of Southampton, Southampton, UK.
Caroline ChauCancer Sciences Unit, University of Southampton, Southampton, UK.
Richard Lee-YingTom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.
Daniel Y C HengTom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.
Srikala SridharPrincess Margaret Cancer Centre, Toronto, ON, Canada.
Simon J CrabbCancer Sciences Unit, University of Southampton, Southampton, UK.
Nimira S AlimohamedTom Baker Cancer Centre, University of Calgary, Calgary, AB, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of the change in the neutrophil-to-lymphocyte ratio (NLR) during neoadjuvant chemotherapy (NAC) on outcomes in patients with muscle-invasive bladder cancer (MIBC) is poorly understood.

objectiveTo evaluate the prognostic impact of the change in NLR during NAC for patients with MIBC.

methodsPatients referred to academic, community, and quaternary referral centres in Alberta, Canada from 2005 to 2015, Ontario, Canada from 2005 to 2013, and Southampton, UK from 2004 to 2010 were evaluated. 376 eligible patients were treated with NAC for clinical T2-4aN0M0 disease, and 296 were evaluable for the change in NLR. A high NLR was defined as being an NLR > 3. Relationships between the change in NLR from baseline to mid-NAC (pre-cycle 3) and outcomes were analyzed using multivariable Cox regression. Kaplan-Meier analysis was used with the log-rank test for group comparisons.

resultsMedian follow-up was 22.0 months (95% confidence interval [CI]: 14.9-30.0). Patients with a sustained high NLR had a median disease-free survival (DFS) of 12.6 months, compared to 34.8 months for those with a sustained low NLR (log-rank test

conclusionsA sustained high NLR from baseline to mid-NAC is an independent prognostic factor for patients with MIBC.

Indexed as

biomarkersinflammationlymphocytesneoadjuvant therapyneutrophilsprognosistumorUrinary bladder neoplasms

Identifiers

PMID29732389
PMCPMC5929304

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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.