Evidence map›Paper›PMID 31392087›Full record

ArticlePeerJ2019

Neutrophil-lymphocyte ratio is prognostic in early stage resected small-cell lung cancer.

Zoltan Lohinai, Laura Bonanno, Aleksei Aksarin, Alberto Pavan, Zsolt Megyesfalvi, Balazs Santa, Virag Hollosi, Balazs Hegedus, Judit Moldvay, PierFranco Conte and 4 more

Open access · goldAbstract read
In one paragraph

Article in PeerJ, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

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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

14 authors at 8 institutions in 6 countries.

Zoltan LohinaiNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Laura BonannoMedical Oncology 2, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Aleksei AksarinSurgut District Clinical Hospital, Surgut, Russia.
Alberto PavanMedical Oncology 2, Istituto Oncologico Veneto IOV IRCCS, Padova, Italy.
Zsolt MegyesfalviNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Balazs SantaNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Virag HollosiNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Balazs HegedusDepartment of Thoracic Surgery, University Hospital Essen, Essen, Germany.
Judit MoldvayNational Koranyi Institute of Pulmonology, Budapest, Hungary.
PierFranco ConteDepartment of Surgical, Oncological and Gastroenterological Sciences, Università degli Studi di Padova, Padova, Italy.
Mikhail Ter-OvanesovPeoples' Friendship University of Russia, Moscow, Russia.
Evgeniy BilanDepartment of Oncology, Surgut District Clinical Hospital, Surgut, Russia.
Balazs DomeNational Koranyi Institute of Pulmonology, Budapest, Hungary.
Glen J WeissBeth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
Országos Korányi Tbc és Pulmonológiai Intézet · HUIstituti di Ricovero e Cura a Carattere Scientifico · ITSurgut State University · RUBeth Israel Deaconess Medical Center · USEssen University Hospital · DENational Institute of Oncology · HUPeoples' Friendship University of Russia · RUUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor selected early stage small cell lung cancer (SCLC), curative intent surgery is often performed. Previous studies, predominantly from East Asia, reported that high neutrophil to lymphocyte ratio (NLR), and platelet-lymphocyte ratio (PLR) correlate with poor prognosis in several types of tumors including SCLC. Our aim was to investigate the prognostic value of NLR and PLR in Caucasian patients with resected SCLC, as potential tool to select patients for multimodal treatment including surgery.

methodsConsecutive patients evaluated at three centers between 2000 and 2013 with histologically confirmed and surgically resected SCLC were retrospectively analyzed. NLR and PLR at diagnosis was used to categorize patients into "high" and "low" groups based on receiver operating curve analysis. Univariate and multivariate analyses were used to evaluate the impact of clinical and pathological characteristics on outcome.

resultsThere were a total of 189 patients with a median age of 58 years, and the majority had stage I or II disease. We found a significant correlation between NLR and tumor stage (

conclusionPre-operative LNLR may be a favorable prognostic factor in stage I-II SCLCs. PLR is not prognostic in this population. LNLR is easy to assess and can be integrated into routine clinical practice. Further prospective studies are needed to confirm these observations.

Indexed as

Early stage small cell lung cancerNeutrophil–lymphocyte ratioPlatelet–lymphocyte ratioSurgery

Identifiers

PMID31392087
PMCPMC6673426
OpenAlexW2965533654

What OpenQuestion holds

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LicenceCC BY
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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.