Evidence map›Paper›PMID 31418936›Full record

ArticleJournal of clinical laboratory analysis2019

Prognostic significance of the CRP/Alb and neutrophil to lymphocyte ratios in hepatocellular carcinoma patients undergoing TACE and RFA.

Yanjun Shen, Huige Wang, Wendong Li, Jinglong Chen

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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  14. Humoral Predictors of Malignancy in IPMN: A Review of the Literature.International journal of molecular sciences · 2021
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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

4 authors.

Yanjun ShenDepartment of Oncology, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
Huige WangDepartment of Gynecology, Wangjing Hospital of Chinese Academy of Chinese Medical, Beijing, China.
Wendong LiDepartment of Oncology, Beijing Ditan Hospital, Capital Medical University, Beijing, China.
Jinglong ChenDepartment of Oncology, Beijing Ditan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-5767-823X

Funding

The Research and Application of Clinical Character 161100000516141The Research and Application of Clinical Character 181100001718131
6 · The paper itself

Abstract

backgroundThe C-reactive protein (CRP)/albumin (Alb) ratio (CAR) is a basic inflammatory factor that has been related to poor survival of patients with various tumors. Our research retrospectively examined the relationship between the CAR and the prognosis of hepatocellular carcinoma (HCC).

methodsThis study included 172 patients with HCC who were treated with transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA).

resultsThe CAR was weakly related to the neutrophil/lymphocyte ratio (NLR, r = .159, P = .037) and the lymphocyte/monocyte ratio (LMR, r = -.263, P = .001). The Glasgow Prognostic Score (GPS) (0/1-2) was related to liver cirrhosis (P = .003), tumor number (P = .02), Child-Pugh grade (P = .001), the platelet/lymphocyte ratio (PLR, P = .006), and the LMR (P = .021). Correlation analysis demonstrated that an elevated CAR was markedly correlated with the tumor size (P = .019), alpha-fetoprotein (AFP) level (P = .033), thrombosis of the portal vein (P = .004), the NLR (P = .036), and the LMR (P = .001). Multivariate analysis indicated that the prognosis of the CAR-High and NLR-High cohort (mOS = 7 months) was significantly worse than those of the CAR-High or NLR-High cohort (mOS = 15 months) and the CAR-Low and NLR-Low cohort (mOS = 26.5 months).

conclusionsCombination of the NLR and the CAR represents a convenient, quick, and noninvasive biological marker that could improve prognostic prediction in patients with HCC.

Indexed as

Chemoembolization, TherapeuticRadiofrequency AblationAgedAlbuminsCarcinoma, HepatocellularC-Reactive ProteinFemaleHumansLiver NeoplasmsLymphocytesMaleNeutrophilsPrognosisROC CurveSurvival AnalysisAlbuminsC-Reactive ProteinC-reactive protein/albumin ratiohepatocellular carcinomainflammationneutrophil/lymphocyte ratiooverall survival

Identifiers

PMID31418936
PMCPMC6868405

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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.