Evidence map›Paper›PMID 30454002›Full record

ArticleJournal of cardiothoracic surgery2018

Assessment of the prognostic role of neutrophil-to-lymphocyte ratio following complete resection of thymoma.

Piergiorgio Muriana, Angelo Carretta, Paola Ciriaco, Alessandro Bandiera, Giampiero Negri

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Immune aberrations in thymic epithelial tumors.Mediastinum (Hong Kong, China) · 2025
    Review
  6. Article
  7. Thymic Epithelial Tumors: An Evolving Field.Life (Basel, Switzerland) · 2023
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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  15. 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

5 authors.

Piergiorgio MurianaDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Milan, Italy. muriana.piergiorgio@hsr.it.ORCID http://orcid.org/0000-0003-1341-1071
Angelo CarrettaDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Milan, Italy.
Paola CiriacoDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Milan, Italy.
Alessandro BandieraDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Milan, Italy.
Giampiero NegriDepartment of Thoracic Surgery, San Raffaele Scientific Institute, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe introduction of the new TNM staging system for thymic epithelial malignancies produced a significant increase in the proportion of patients with stage I disease. The identification of new prognostic factors could help to select patients for adjuvant therapies based on their risk of recurrence. Neutrophil-to-lymphocyte ratio (NLR) has recently gained popularity as reliable prognostic biomarker in many different solid tumors. The aim of this study is to assess the utility of NLR evaluation as a prognostic marker in patients with surgically-treated thymoma.

methodsA retrospective analysis was conducted among patients who underwent resection for thymoma in a single center. Patients were divided in two groups, under (low-NLR-Group = 47 patients, 60%) and above (high-NLR-Group = 32 patients, 40%) a ROC-derived NLR cut-off (2.27). Associations with clinical-pathological variables were analyzed; disease-free survival (DFS) was identified as the primary endpoint.

resultsBetween 2007 and 2017, 79 patients had surgery for thymoma. Overall 5-year DFS was 80%. Univariate survival analysis demonstrated that NLR was significantly related to DFS when patients were stratified for TNM stage (p = 0.043). Five-year DFS in the low-NLR-Group and in the high-NLR-Group were respectively 100 and 84% in stage I-II, and 66 and 0% in stage III. TNM stage resulted as the only independent prognostic factor at multivariate analysis, with hazard ratio of 3.986 (95% CI 1.644-9.665, p = 0.002).

conclusionsHigh preoperative NLR seems to be associated to a shorter DFS in patients submitted to surgery for thymoma and stratified for TNM stage.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansKaplan-Meier EstimateLymphocyte CountLymphocytesMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingNeutrophilsPrognosisProportional Hazards ModelsBiomarkers, TumorNeutrophil-to-lymphocyte ratioPrognostic markersSurgeryThymomaTNM staging

Identifiers

PMID30454002
PMCPMC6245904

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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.