Evidence map›Paper›PMID 31778466›Full record

ArticleEinstein (Sao Paulo, Brazil)2020

Neutrophil-lymphocyte ratio change after curative gastrectomy for gastric cancer: a subgroup analysis.

Daniel José Szor, André Roncon Dias, Marina Alessandra Pereira, Marcus Fernando Kodama Pertille Ramos, Bruno Zilberstein, Ivan Cecconello, Ulysses Ribeiro Júnior

Abstract read
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Article in Einstein (Sao Paulo, Brazil), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

7 authors.

Daniel José SzorInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-9727-9241
André Roncon DiasInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0003-3378-4916
Marina Alessandra PereiraInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-6865-0988
Marcus Fernando Kodama Pertille RamosInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0003-0200-7858
Bruno ZilbersteinInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-1809-8558
Ivan CecconelloInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-3535-4170
Ulysses Ribeiro JúniorInstituto do Câncer do Estado de São Paulo, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0003-1711-7347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the impact of neutrophil-lymphocyte ratio change after curative surgery for gastric cancer.

methodsA retrospective analysis of patients with gastric cancer who underwent curative surgery between 2009 and 2017 was performed. A cutoff value was established for the neutrophil-lymphocyte ratio in the pre- and postoperative periods, according to the median value, and four subgroups were formed (low-low/low-high/high-low/high-high). Clinical-pathological and survival data were analyzed and related to these subgroups.

resultsA total of 325 patients were included in the study. The cutoff values of the neutrophil-lymphocyte ratio were 2.14 and 1.8 for the pre and postoperative periods, respectively. In patients with stages I and II, the high-high subgroup presented worse overall survival (p=0.016) and disease-free survival (p=0.001). Complications were higher in the low-high subgroup of patients.

conclusionThe neutrophil-lymphocyte ratio is a low cost, efficient and reproducible marker. The prognosis individualization can be performed according to the identification of subgroups at a higher risk of complications and worse prognosis.

Indexed as

AgedBiomarkersFemaleGastrectomyHumansLymphocyte CountLymphocytesMaleMiddle AgedNeutrophilsPostoperative PeriodPrognosisRetrospective StudiesStomach NeoplasmsBiomarkers

Identifiers

PMID31778466
PMCPMC6896601

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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.