Evidence map›Paper›PMID 31456101›Full record

ArticleInternational urology and nephrology2019

Systemic immune-inflammation index, serum albumin, and fibrinogen impact prognosis in castration-resistant prostate cancer patients treated with first-line docetaxel.

Ya-Nan Man, Yan-Fang Chen

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Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
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42citing papers in PubMed, 9 pooled it
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Ya-Nan ManDepartment of Radiation Oncology, The Second Hospital of Tianjin Medical University, Ping-Jiang Road, He-Xi District, Tianjin, 300060, China. nannan871220@126.com.ORCID http://orcid.org/0000-0001-7561-9359
Yan-Fang ChenDepartment of Radiation Oncology, The Second Hospital of Tianjin Medical University, Ping-Jiang Road, He-Xi District, Tianjin, 300060, China.

Funding

The Youth Fund of Second Hospital of Tianjin Medical University 2018ydey03
6 · The paper itself

Abstract

purposeTo evaluate the prognostic value of pretreatment plasma systemic immune-inflammation index (SII), albumin, and fibrinogen levels in metastatic castration-resistant prostate cancer (mCRPC) patients treated with first-line docetaxel and to screen out the patients with the greatest risk for poor prognosis.

methodsThe plasma SII, albumin, and fibrinogen levels were examined before treatment and analyzed with patient clinicopathological parameters and overall survival (OS). The survival analysis was performed using the Kaplan-Meier method, and prognostic factors were assessed using the Cox proportional hazard regression model.

resultsThe incidences of elevated SII level, hypoproteinemia, and hyperfibrinogenemia were 52.51%, 25.14%, and 27.93%, respectively. SII level was associated with neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) (P < 0.001). Albumin level was found closely correlated with ECOG PS (P = 0.006), PLR (P = 0.042), and hemoglobin (P = 0.009), but not other parameters. Elevated plasma fibrinogen level was significantly associated with Eastern Cooperative Oncology Group performance status (ECOG PS) (P = 0.009), visceral metastases (P < 0.001), and PLR (P = 0.001). In multivariate Cox regression model, visceral metastases SII (HR 2.133, 95% CI 1.163-3.913; P = 0.014), albumin (HR 0.540, 95% CI 0.307-0.949; P = 0.032), and fibrinogen (HR 1.888, 95% CI 1.069-3.335; P = 0.029) were further confirmed to be the independent prognostic factors for OS. Of the three target parameters, we found that patients with none abnormalities of the three parameters showed the best prognosis, and patients with at least any two abnormalities of them showed markedly worse prognosis than patients with any one abnormalities of the three parameters (P < 0.001).

conclusionsPretreatment SII, albumin, and fibrinogen are independent prognostic factors in mCRPC patients treated with first-line docetaxel. Moreover, the combined use of SII, albumin, and fibrinogen levels may help us to identify the high-risk populations for treatment decisions.

Indexed as

AgedAged, 80 and overAntineoplastic AgentsDocetaxelFibrinogenHumansLeukocyte CountLymphocytesMaleMiddle AgedNeutrophilsPlatelet CountPrognosisProstatic Neoplasms, Castration-ResistantRetrospective StudiesRisk AssessmentAntineoplastic AgentsDocetaxelFibrinogenSerum AlbuminCRPCD-dimerFibrinogenPrognosisSII

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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.