Evidence map›Paper›PMID 30912405›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2019

Pretreatment Neutrophil-to-Lymphocyte ratio (NLR) and Platelet-to-Lymphocyte Ratio (PLR) as a Predictive Value of Hematological Markers in Cervical Cancer

I Putu Yuda Prabawa, Agha Bhargah, Firdy Liwang, Deasy Ayuningtyas Tandio, Aditya Leonard Tandio, Anak Agung Wiradewi Lestari, I Nyoman Gede Budiana, Ida Bagus Amertha Putra Manuaba

Open access · goldAbstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Diagnostic and prognostic role of NLR in testicular cancer.Exploration of targeted anti-tumor therapy · 2024
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  16. Association of albumin, neutrophil-lymphocyte ratio and lymphocytes with clinical stage in cervical cancer patients.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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 at 2 institutions in 2 countries.

I Putu Yuda PrabawaMaster Program in Biomedicine, Faculty of Medicine, Udayana University, Bali, Indonesia. Email: yudaprabawa@unud.ac.id
Agha BhargahPost Graduate Student, Faculty of Medicine, Udayana University, Bali, Indonesia.
Firdy LiwangPost Graduate Student, Faculty of Medicine, Sam Ratulangi University, Manado, Indonesia.
Deasy Ayuningtyas TandioPublic Health Officer, Timor Tengah Utara Health Department, East Nusa Tenggara Province, Indonesia.
Aditya Leonard TandioPost graduate student in public health, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Australia.
Anak Agung Wiradewi LestariDepartment of Clinical Pathology, Sanglah General Hospital, Udayana University, Faculty of Medicine, Bali, Indonesia.
I Nyoman Gede BudianaDepartment of Obstetrics and Gynecology, Sanglah General Hospital, Faculty of Medicine, Udayana University, Bali, Indonesia.
Ida Bagus Amertha Putra ManuabaInternational Program of Medicine, Taipei Medical University, Taipei, Taiwan.
Taipei Medical University · TWUdayana University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Inflammation represents a pivotal role in the progression of cervical cancer. The hematological markers of inflammation in complete blood count (CBC) panel are potentially useful in determining the prognosis of the disease. Objective: The aim of the study was to investigate whether the pretreatment neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) could be used as in predicting the stage of cervical cancer. Methods: A retrospective cross-sectional study involving 282 patients with cervical cancer was enrolled at Sanglah General Hospital for five years (2013-2017). The histopathological records and complete blood counts (CBC) of the patients were collected and analyzed using SPSS ver. 16 software. FIGO stage I–II and III-IV were classified as early and advance stage respectively. Results: The median NLR and PLR were significantly higher in the advance stage compared with early stage (7.58 (1.36-33.20) and 247.89 (97.10-707.11); p-value = 0.001). A strong positive correlation was found between the staging of cervical cancer and NLR (r=0.638) and PLR (r=0.668). The AUC, sensitivity, and specificity value of NLR and PLR were 0.803 (82%; 71%) and 0.716 (72%; 70%). Advanced stage of cervical cancer was found in high NLR (adjusted OR: 9.02; 95%CI=2.42-33.64; p=0.001) and PLR (adjusted OR = 2.47; 95% CI = 1.45-4.85; p = 0.032). Conclusion: Increased pretreatment NLR and PLR values may provide a useful information in predicting the staging of cervical cancer.

Indexed as

AdenocarcinomaBlood PlateletsCarcinoma, Squamous CellCross-Sectional StudiesFemaleFollow-Up StudiesHumansLymphocytesMiddle AgedNeutrophilsPrognosisRetrospective StudiesROC CurveUterine Cervical NeoplasmsCervical cancerNeutrophil-to-lymphocyte ratioplatelet-to-lymphocyte ratiostaging

Identifiers

PMID30912405
PMCPMC6825764
OpenAlexW2929175768

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.