Evidence map›Paper›PMID 31897648›Full record

ArticleInternational journal of colorectal disease2020

The C-reactive protein to albumin ratio predicts postoperative complications in oldest-old patients with colorectal cancer.

Shintaro Hashimoto, Tetsuro Tominaga, Takashi Nonaka, Kiyoaki Hamada, Masato Araki, Hiroaki Takeshita, Hidetoshi Fukuoka, Hideo Wada, Kazuo To, Hideaki Komatsu and 3 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
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

16 citing papers in PubMed, 32 citations in OpenAlex.

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  8. The Role of Preoperative Inflammatory Markers in Pancreatectomy: a Norwegian Nationwide Cohort Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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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

13 authors at 5 institutions in 1 country.

Shintaro HashimotoDepartment of Surgery, Saiseikai Nagasaki Hospital, 2-5-1 Katafuchi, Nagasaki, 850-0003, Japan.ORCID http://orcid.org/0000-0002-1849-8754
Tetsuro TominagaDepartments of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan. tetsuro.tominaga@nagasaki-u.ac.jp.ORCID http://orcid.org/0000-0001-9429-3227
Takashi NonakaDepartments of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Kiyoaki HamadaDepartment of Surgery, Sasebo City General Hospital, 9-3 Hirasemati, Sasebo, 857-8511, Japan.
Masato ArakiDepartment of Surgery, Sasebo City General Hospital, 9-3 Hirasemati, Sasebo, 857-8511, Japan.
Hiroaki TakeshitaDepartment of Surgery, National Hospital Organization Nagasaki Medical Center, 2-1001-1 Kubara, Ōmura, 856-8562, Japan.
Hidetoshi FukuokaDepartment of Surgery, Isahaya General Hospital, 24-1 Eisyohigasi, Isahaya, 854-8501, Japan.
Hideo WadaDepartment of Surgery, Ureshino Medical Center, 4279-3 Ureshino, Saga, 843-0393, Japan.
Kazuo ToDepartment of Surgery, Ureshino Medical Center, 4279-3 Ureshino, Saga, 843-0393, Japan.
Hideaki KomatsuDepartment of Surgery, Saiseikai Nagasaki Hospital, 2-5-1 Katafuchi, Nagasaki, 850-0003, Japan.
Kenji TanakaDepartment of Surgery, Saiseikai Nagasaki Hospital, 2-5-1 Katafuchi, Nagasaki, 850-0003, Japan.
Terumitsu SawaiDepartments of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Takeshi NagayasuDepartments of Surgical Oncology, Nagasaki University Graduate School of Biomedical Science, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Nagasaki University · JPNagasaki Ajisai Hospital · JPSasebo City General Hospital · JPUreshino Medical Center · JPNagasaki Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe C-reactive protein to albumin ratio (CAR) is a simple and useful score for predicting the outcomes of patients with various cancers. The aim of this study was to evaluate the CAR and short-term outcomes in oldest-old patients with colorectal cancer.

methodsA total of 126 patients aged 85 years and older with colorectal cancer who underwent resection for primary colon cancer from April 2015 to December 2018 were included. The preoperative cutoff value of the CAR for predicting postoperative complications was 0.19 on receiver operating characteristic curve analysis. Clinical characteristics and inflammation-based scores were compared between patients with a high CAR (CAR ≥ 0.19, n = 44) and a low CAR (CAR < 0.19, n = 82).

resultsA high preoperative CAR level (≥ 0.19) was significantly associated with stoma construction (p = 0.004), blood loss (p = 0.003), postoperative complications (p = 0.016), and systemic inflammation marker levels, including a low neutrophil to lymphocyte ratio (p = 0.006), a low platelet to lymphocyte ratio (p = 0.005), a low prognostic nutritional index (p < 0.001), and a high modified Glasgow prognostic score (p < 0.001). On univariate and multivariate analyses, only the CAR was an independent predictor of postoperative complications (HR 2.864, p = 0.029).

conclusionsA high CAR was significantly associated with postoperative complications for oldest-old patients with colorectal cancer.

Indexed as

AgedAged, 80 and overBiomarkersColorectal NeoplasmsC-Reactive ProteinFemaleGlasgow Outcome ScaleHumansLeukocyte CountLymphocyte CountMaleMonocytesNeutrophilsNutrition AssessmentPlatelet CountPostoperative ComplicationsBiomarkersC-Reactive ProteinSerum AlbuminColorectal cancerC-reactive protein to albumin ratioInflammation-based scoreOldest-old patientPostoperative complication

Identifiers

PMID31897648
OpenAlexW2997029394

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.