Evidence map›Paper›PMID 31388642›Full record

ArticleBJS open2019

Prognostic significance of inflammatory biomarkers in hepatocellular carcinoma following hepatic resection.

S Itoh, K Yugawa, M Shimokawa, S Yoshiya, Y Mano, K Takeishi, T Toshima, Y Maehara, M Mori, T Yoshizumi

Abstract read
In one paragraph

Article in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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.

S ItohDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.ORCID 0000-0003-0382-2520
K YugawaDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
M ShimokawaDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
S YoshiyaDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Y ManoDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
K TakeishiDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
T ToshimaDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Y MaeharaDepartment of Surgery Kyushu Central Hospital of the Mutual Aid Association of Public School Teachers Fukuoka Japan.
M MoriDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
T YoshizumiDepartment of Surgery and Science, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cancer-related inflammation has been correlated with cancer prognosis. This study evaluated inflammatory biomarkers, including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and lymphocyte-to-monocyte ratio (LMR), programmed death ligand (PD-L) 1 expression, and tumour microenvironment in relation to prognosis and clinicopathological features of patients with hepatocellular carcinoma (HCC) undergoing curative hepatic resection. Methods: Patients who had liver resection for HCC in 2000-2011 were analysed. Univariable and multivariable analyses were conducted for overall (OS) and recurrence-free (RFS) survival. Immunohistochemical analyses of PD-L1, CD8 and CD68 expression were performed. HCC cell lines were evaluated for PD-L1 expression. A subgroup analysis was conducted to determine patient features, survival and the tumour microenvironment. Results were validated in a cohort of patients with HCC treated surgically in 2012-2016. Results: Some 281 patients who underwent hepatic resection for HCC were included. Multivariable analysis showed that low LMR was an independent prognostic factor of OS (hazard ratio (HR) 1·59, 95 per cent c.i. 1·00 to 2·41; Conclusion: LMR is an independent predictor of survival after hepatic resection in patients with HCC. Modulation of the immune checkpoint pathway in the tumour microenvironment is associated with a low LMR.

Indexed as

Carcinoma, HepatocellularHepatectomyLiver NeoplasmsAdultAgedAged, 80 and overBiomarkers, TumorCell Line, TumorFemaleHumansInflammationMaleMiddle AgedPostoperative ComplicationsPrognosisYoung AdultBiomarkers, Tumor

Identifiers

PMID31388642
PMCPMC6677099

What OpenQuestion holds

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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.