Evidence map›Paper›PMID 30227838›Full record

ArticleBMC musculoskeletal disorders2018

The predictive value of preoperative neutrophil-lymphocyte ratio (NLR) on the recurrence of the local pigmented villonodular synovitis of the knee joint.

Guanglei Zhao, Jin Wang, Jun Xia, Yibing Wei, Siqun Wang, Gangyong Huang, Feiyan Chen, Jie Chen, Jingsheng Shi, Yuanqing Yang

Open access · goldAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

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

8 citing papers in PubMed, 16 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

10 authors at 2 institutions in 1 country.

Guanglei ZhaoDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Jin WangDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Jun XiaDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China. hudbt17089@gmail.com.
Yibing WeiDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Siqun WangDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Gangyong HuangDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Feiyan ChenDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Jie ChenDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Jingsheng ShiDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Yuanqing YangDivision of orthopaedic surgery, Huashan Hospital, Fudan University, Shanghai, 200040, China.
Fudan University · CNHuashan Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo explore and evaluate the predictive value of preoperative Neutrophil-lymphocyte ratio (NLR) on the recurrence of pigmented villonodular synovitis (PVNS) of the knee joint treated by arthroscopic surgery combining local radiotherapy.

methodsSixty pathological-proven PVNS cases of the knee joint in our department from April 2006 to March 2017 were included. All of them are treated by arthroscopic synovectomy combined with adjuvant radiotherapy. The pre-operative hematological indexes such as c-reactive protein (CRP), erythrocyte sedimentation rate (ESR), NLR, Platelet-lymphocyte ratio (PLR) and Lymphocyte-monocyte ratio (LMR) were collected retrospectively and their relationship with postoperative recurrence was analyzed by using univariate and multivariate analysis, the receiver operating characteristic curves (ROC curve), the Kappa correspondence test and the Mc Nemar Chi-square test.

resultsAll 60 patients were followed up for a median of 52.8 months (7-138 months) and the recurrence rate is about 23.3% (14/60). There is a significant difference in NLR between the recurrent and non-recurrent group (P = 0.002). It had a certain correlation with postoperative recurrence (correlation coefficient r = 0.438, P = 0.001). The optimal thresholds in ROC curve were 2.42 (sensitivity 71.4%, specificity 78.3% respectively). which had predictive ability for recurrence after arthroscopic treatment.

conclusionThe preoperative NLR is an easy and cost-effective predictor for relapse in PVNS of the knee joint after the arthroscopic surgery combined with local radiotherapy, which is of profound significance to guide clinical work.

Indexed as

ArthroscopyLymphocytesNeutrophilsSynovectomyAdolescentAdultAgedFemaleHumansKnee JointLymphocyte CountMaleMiddle AgedPredictive Value of TestsRadiotherapy, AdjuvantRecurrenceNLRPigmented villonodular synovitisRecurrence

Identifiers

PMID30227838
PMCPMC6145334
OpenAlexW2891964483

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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.