Evidence map›Paper›PMID 31517821›Full record

Trial reportMedicine2019

An exploratory study examining the relationship between performance status and systemic inflammation frameworks and cytokine profiles in patients with advanced cancer.

Ross D Dolan, Barry J A Laird, Pål Klepstad, Stein Kaasa, Paul G Horgan, Ørnulf Paulsen, Donald C McMillan

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00676936 (Corticosteroids for Cancer Pain), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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.

NCT00676936 phase3completednot on this map

Corticosteroids for Cancer Pain

TypeinterventionalSponsorNorwegian University of Science and TechnologyRan2008 to 2012Enrolled50ConditionsCancer, PainArmsMethylprednisolone, Placebo
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Prognostic significance of serum inflammatory markers in esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2021
    Article
  9. Article
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

7 authors at 5 institutions in 2 countries.

Ross D DolanAcademic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow.
Barry J A LairdEdinburgh Cancer Research Centre, University of Edinburgh, Edinburgh, United Kingdom.
Pål KlepstadDepartment Intensive Care Medicine, St Olavs University Hospital, 7006 Trondheim and European Palliative Care Research Centre (PRC), Oslo University Hospital and Institute of Clinical Medicine, Oslo.
Stein KaasaEuropean Palliative Care Research Centre (PRC), Oslo University Hospital and Institute of Clinical Medicine, Oslo.
Paul G HorganAcademic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow.
Ørnulf PaulsenEuropean Palliative Care Research Centre (PRC), Oslo University Hospital and Institute of Clinical Medicine and Palliative Care Unit, Telemark Hospital Trust, Skien, Norway.
Donald C McMillanAcademic Unit of Surgery, School of Medicine, University of Glasgow, Glasgow Royal Infirmary, Glasgow.
University of Glasgow · GBEdinburgh Cancer Research · GBGlasgow Royal Infirmary · GBOslo University Hospital · NOSt Olav's University Hospital · NO

Funding

Marie Curie MCRGS-07-16-73
6 · The paper itself

Abstract

The role of cytokines in the systemic inflammatory response (SIR) is now well established. This is in keeping with the role of the SIR in tumorigenesis, malignant spread, and the development of cachexia. However, the relationship between performance status/systemic inflammation frameworks and cytokine profiles is not clear. The aim of the present study was to examine the relationship between the Eastern cooperative oncology group performance status/modified Glasgow prognostic score (ECOG-PS/mGPS) and cooperative oncology group performance status/neutrophil platelet score (ECOG-PS/NPS) frameworks and their cytokine profile in patients with advanced cancer.This was a retrospective interrogation of data already collected as part of a recent clinical trial (NCT00676936). The relationship between the independent variables (ECOG-PS/mGPS and ECOG-PS/NPS frameworks), and dependent variables (cytokine levels) was examined using independent Mann-Whitney U and Kruskal Wallis tests where appropriate.Of the 40 patients included in final analysis the majority had evidence of an SIR assessed by mGPS (78%) or NPS (53%). All patients died on follow-up and the median survival was 91 days (4-933 days). With increasing ECOG-PS there was a higher median value of Interleukin 6 (IL-6, P = .016) and C-reactive protein (CRP, P < .01) and lower albumin (P < .01) and poorer survival (P < .001). With increasing mGPS there was a higher median value of IL-6 (P = .016), Macrophage migration inhibitory factor (MIF, P = .010), erythrocyte sedimentation rate (ESR, P < .01) and poorer survival (P < .01). With increasing NPS there was a higher median value of TGF-β (P < .001) and C-reactive protein (P = .020) and poor survival (P = .001). When those patients with an ECOG-PS 0/1 and mGPS0 were compared with those patients with an ECOG-PS 2 and mGPS2 there was a higher median value of IL-6 (P = .017) and poorer survival (P < .001). When those patients with an ECOG-PS 0/1 and NPS0 were compared with those patients with an ECOG-PS 2 and NPS1/2 there was a higher median value of IL-6 (P = .002), TGF-β (P < .001) and poorer survival (P < .01).In patients with advanced cancer IL-6 was associated with the ECOG-PS/mGPS and ECOG-PS/NPS frameworks and survival in patients with advanced cancer. Therefore, the present work provides supporting evidence that agents targeting IL-6 are worthy of further exploration.

Indexed as

AgedBiomarkersCytokinesFemaleFollow-Up StudiesHumansInflammationMaleMiddle AgedNeoplasmsRetrospective StudiesSeverity of Illness IndexSurvival AnalysisBiomarkersCytokines

Identifiers

PMID31517821
PMCPMC6750290
OpenAlexW2972655397

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.