Evidence map›Paper›PMID 31788655›Full record

ArticleAnnals of gastroenterological surgery2019

Verification of inflammation-based prognostic marker as a prognostic indicator in hepatocellular carcinoma.

Masateru Yamamoto, Tsuyoshi Kobayashi, Shintaro Kuroda, Michinori Hamaoka, Sho Okimoto, Naruhiko Honmyo, Megumi Yamaguchi, Hideki Ohdan

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 12% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  13. Molecular mechanism of albumin in suppressing invasion and metastasis of hepatocellular carcinoma.Liver international : official journal of the International Association for the Study of the Liver · 2022
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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

8 authors at 1 institution in 1 country.

Masateru YamamotoDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.
Tsuyoshi KobayashiDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0000-0001-7364-1798
Shintaro KurodaDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.ORCID https://orcid.org/0000-0001-9881-0420
Michinori HamaokaDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.
Sho OkimotoDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.
Naruhiko HonmyoDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.
Megumi YamaguchiDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.
Hideki OhdanDepartment of Gastroenterological and Transplant Surgery Graduate School of Biomedical and Health Science Hiroshima University Hiroshima Japan.
Hiroshima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimAlthough inflammation-based markers in cancer have been used for prognostic prediction, the most useful marker for hepatocellular carcinoma (HCC) has not been established. We investigated the usefulness of various inflammation-based markers in HCC patients after hepatectomy.

methodsA total of 478 patients who underwent initial hepatectomy for HCC from 2009 to 2015 and were diagnosed with pathological HCC were included in this retrospective study. Inflammation-based markers consisted of the C-reactive protein to albumin ratio (CAR), Glasgow prognostic score (GPS), neutrophil to lymphocyte ratio, lymphocyte to monocyte ratio, platelet to lymphocyte ratio and prognostic index. Univariate and multivariate analyses for overall survival (OS) and disease-free survival (DFS) using the Cox proportional hazard model were carried out. Kaplan-Meier analysis and log-rank test were used for comparison of OS and DFS. To reduce influences of selection bias and confounders for stratifying CAR, clinicopathological characteristics of patients were balanced by propensity score matching.

resultsMultivariate analysis identified only high CAR (>0.027) as an indicator of poor OS, and high CAR and high GPS (1-2) as indicators of poor DFS among inflammation-based markers. After propensity score matching, 124 patients each with low CAR and high CAR were matched. High CAR was correlated with both poor OS and DFS.

conclusionC-reactive protein to albumin ratio was the most valuable prognostic indicator after hepatectomy for HCC among inflammation-based markers.

Indexed as

C‐reactive protein to albumin ratioGlasgow prognostic scorehepatocellular carcinomalymphocyte to monocyte rationeutrophil to lymphocyte ratio

Identifiers

PMID31788655
PMCPMC6875930
OpenAlexW2974893314

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LicenceCC BY
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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.