Evidence map›Paper›PMID 31350986›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2019

The Neutrophil to Lymphocyte Ratio Predicts the Response to Neoadjuvant Chemotherapy in Luminal B Breast Cancer.

Mauricio Rivas, Francisco Acevedo, Francisco Dominguez, Hector Galindo, Mauricio Camus, David Oddo, Alejandra Villarroel, Dravna Razmilic, Jose Peña, Matias Munoz Medel and 7 more

Abstract 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Review
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

17 authors.

Mauricio RivasDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Francisco AcevedoDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Francisco DominguezDepartment of Oncological and Maxillofacial Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Hector GalindoDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Mauricio CamusDepartment of Oncological and Maxillofacial Surgery, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
David OddoDepartment of Anatomy and Pathology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Alejandra VillarroelDepartment of Anatomy and Pathology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Dravna RazmilicDepartment of Radiology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Jose PeñaDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Matias Munoz MedelDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Maria Elena NavarroDepartment of Radiology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Alejandra Perez-SepulvedaDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Lidia MedinaCentro de Cancer, Red de Salud UC-CHRISTUS, Santiago, Chile.
Tomas MerinoDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Juan BrionesDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl
Alexis KalergisMillennium Institute on Immunology and Immunotherapy, Department of Molecular Genetics and Microbiology, Faculty of Biologic Sciences, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Cesar SanchezDepartment of Hematology and Oncology, School of Medicine, Pontificia Universidad Catolica de Chile, Santiago, Chile. Email: csanchez@med.puc.cl

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Tumor response to neoadjuvant chemotherapy (NAC) in breast cancer (BC) patients is a predictor for overall survival. The aim of our study was to determine a relationship between the neutrophil to lymphocyte ratio (NLR) prior to NAC, BC subtypes and the probability of a pathologic complete response (pCR). Materials and Methods: Medical records were collected retrospectively from Centro de Cancer at Red Salud UC-Christus. Clinical data collected included peripheral blood cell counts, BC subtype at diagnosis and the pathology report of surgery after chemotherapy. Results: A total of 88 patients were analyzed. Approximately, a 25% had a pCR, and displayed a significant correlation between BC subtype and pCR (p= 0.0138 Chi2); this was more frequent in epidermal growth factor receptor type 2 (HER2) enriched subtype patients (54%). Luminal B BC patients with a pCR had significantly lower NLR levels (t test, p= 0.0181). Conclusions: HER2-enriched tumors had a higher probability of pCR. In Luminal B tumors, NLR had a statistically significant relationship with the probability of pCR. In this subtype, NLR could be a useful biomarker to predict tumor response to NAC. Further studies including other clinical parameters for systemic inflammation such as platelet counts, intratumoral NLR or body mass index could help identify patients that would get the most benefit from NAC.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularChemotherapy, AdjuvantFemaleFollow-Up StudiesHumansLymphocytesMiddle AgedNeoadjuvant TherapyNeutrophilsPrognosisBiomarkers, Tumorbreast cancerluminal subtypeNeoadjuvant chemotherapyneutrophil to lymphocyte ratio

Identifiers

PMID31350986
PMCPMC6745205

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.