Evidence map›Paper›PMID 30349306›Full record

ArticleOncoTargets and therapy2018

Role of monocyte-to-lymphocyte ratio in predicting sorafenib response in patients with advanced hepatocellular carcinoma.

Zhenfeng Zhu, Litao Xu, Liping Zhuang, Zhouyu Ning, Chenyue Zhang, Xia Yan, Junhua Lin, Yehua Shen, Peng Wang, Zhiqiang Meng

Abstract read
In one paragraph

Article in OncoTargets and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

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

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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.

Zhenfeng ZhuDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Litao XuDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Liping ZhuangDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Zhouyu NingDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Chenyue ZhangDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Xia YanDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Junhua LinDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Yehua ShenDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Peng WangDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.
Zhiqiang MengDepartment of Integrative Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China, mengzhq@yeah.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSorafenib is the first-line treatment for patients with unresectable hepatocellular carcinoma (HCC), and its clinical response rate is only about 10%. In clinical practice, some HCC patients obtain favorable overall survival (OS) to the treatment of sorafenib while some patients do not demonstrate a sensitive response to sorafenib. Therefore, it is valuable to determine the subgroups of patients who respond well as well as poorly to sorafenib. Thus, clinical variables of advanced HCC patients with sorafenib treatment were compiled to investigate whether monocyte-to-lymphocyte ratio (MLR) could be a biomarker for predicting sorafenib response. PATIENTS AND

methodsIn this study, a total of 142 patients with advanced HCC were enrolled from January 1, 2013 to December 31, 2016 at the Fudan University Shanghai Cancer Center. MLR was analyzed using a ROC curve. A Cox regression model and log-rank test were performed to analyze the relationship between clinical factors and OS, as well as progression free survival (PFS).

resultsThe optimal cut-off point for MLR was 0.35, and MLR level had no significant correlation with age, gender, hepatitis B infection, grade, alpha-fetoprotein (AFP) level and state of portal vein tumor thrombus. Multivariate Cox regression model showed that grade (HR: 0.608, 95% CI: 0.409-0.904,

conclusionMLR can predict sorafenib response and a high MLR is correlated with poor prognosis in patients with advanced HCC.

Indexed as

hepatocellular carcinomamonocyte-to-lymphocyte ratioprognosissorafenib

Identifiers

PMID30349306
PMCPMC6188073

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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.