Evidence map›Paper›PMID 32042266›Full record

ArticleCancer cell international2020

The prognostic value of De Ritis (AST/ALT) ratio in patients after surgery for urothelial carcinoma: a systematic review and meta-analysis.

Xu Hu, Wei-Xiao Yang, Yan Wang, Yan-Xiang Shao, San-Chao Xiong, Xiang Li

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Article in Cancer cell international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

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12citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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12 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Xu Hu *1West China School of Medicine/West China Hospital, Sichuan University, Chengdu, 610041 People's Republic of China.
Wei-Xiao Yang *1West China School of Medicine/West China Hospital, Sichuan University, Chengdu, 610041 People's Republic of China.
Yan Wang *1West China School of Medicine/West China Hospital, Sichuan University, Chengdu, 610041 People's Republic of China.
Yan-Xiang Shao1West China School of Medicine/West China Hospital, Sichuan University, Chengdu, 610041 People's Republic of China.
San-Chao Xiong1West China School of Medicine/West China Hospital, Sichuan University, Chengdu, 610041 People's Republic of China.
Xiang Li2Department of Urology, West China Hospital, West China Medical School, Sichuan University, 37 Guoxue Street, Chengdu, 610041 People's Republic of China.ORCID 0000-0003-0765-1546

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, the De Ritis (AST/ALT) ratio has been considered as a prognostic biomarker for various malignancies. We conducted this systematic review and meta-analysis to explore the prognostic value of preoperative De Ritis ratio in patients after surgery for urothelial carcinoma.

methodsWe searched the online database Embase, PubMed and Cochrane Library up to October 2019. The hazard ratio (HR) and 95% confidence interval (CI) were extracted from the studies.

resultsA total of 8 studies incorporating 3949 patients were included in the quantitative synthesis. We observed that elevated preoperative De Ritis ratio is associated with inferior OS (HR = 1.97; 95% CI 1.70-2.28; P < 0.001), CSS (HR = 2.40; 95% CI 2.02-2.86; P < 0.001), RFS (HR = 1.31; 95% CI 1.11-1.54; P = 0.001), PFS (HR = 2.07; 95% CI 1.68-2.56; P < 0.001) and MFS (HR = 2.39; 95% CI 1.16-4.91; P = 0.018). Stratified by diseases, the elevated De Ritis ratio also served as an unfavorable factor.

conclusionThe elevated preoperative De Ritis ratio is an unfavorable factor for patients with urothelial carcinoma. In patients with BC and UTUC, the elevated preoperative De Ritis ratio is also associated with poor prognosis. But De Ritis ratio must be validated in large, independent cohorts before it can be applied widely.

Indexed as

De Ritis ratioMeta-analysisPrognosisSurgeryUrothelial carcinoma

Identifiers

PMID32042266
PMCPMC6998332

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