Evidence map›Paper›PMID 32087605›Full record

ArticleThoracic cancer2020

Prognostic value of baseline hemoglobin-to-red blood cell distribution width ratio in small cell lung cancer: A retrospective analysis.

Fangfang Wu, Shaoxing Yang, Xiuhua Tang, Wenjing Liu, Haoran Chen, Hongjun Gao

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In one paragraph

Article in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.

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32citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

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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

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3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Fangfang WuPLA 307 Clinical College, Anhui Medical University, Beijing, China.
Shaoxing YangDepartment of Pulmonary Oncology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Xiuhua TangDepartment of Pulmonary Oncology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Wenjing LiuDepartment of Pulmonary Oncology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.ORCID 0000-0002-6853-4848
Haoran ChenDepartment of Pulmonary Oncology, The Fifth Medical Center of Chinese PLA General Hospital, Beijing, China.
Hongjun GaoPLA 307 Clinical College, Anhui Medical University, Beijing, China.ORCID 0000-0001-5277-4292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the prognostic value of baseline hemoglobin-to-red blood cell distribution width ratio (HRR) in patients with small cell lung cancer (SCLC).

methodsWe retrospectively analyzed the medical records of patients with newly diagnosed SCLC who had received first-line chemotherapy at the Department of Pulmonary Oncology of the PLA 307 Hospital between January 2008 and October 2018. The optimal cutoff value of the continuous variables was determined using the X-tile software. Univariate and multivariate analyses were conducted using Cox proportional hazard models. The Kaplan-Meier method was used for survival analysis, with differences tested using the log-rank test.

resultsA total of 146 patients were included. The cutoff value for HRR was determined as 0.985. Statistically significant differences were observed in sex, smoking history, stage, radiotherapy combination, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, hemoglobin, and red blood cell distribution width between the high and low HRR groups. The median overall survival (OS) was nine and 17.5 months in the low and high HRR groups, respectively (P < 0.001). The median progression-free survival (PFS) was five and 8.5 months, respectively (P < 0.001). Univariate and multivariate analyses showed low HRR to be an independent predictor of a poor prognosis for OS (hazard ratio = 3.782; 95% confidence interval, 2.151-6.652; P < 0.001) and PFS (hazard ratio = 2.112; 95% confidence interval, 1.195-3.733; P = 0.01) in SCLC.

conclusionLow HRR was associated with poorer OS and PFS in patients with SCLC and can be a potentially valuable prognostic factor for these patients. KEY POINTS: The prognostic value of the baseline hemoglobin-to-red blood cell distribution width ratio was evaluated in patients with small cell lung cancer. In this population, this ratio was an independent predictor of overall survival and progression-free survival. This ratio, an inexpensive and routine parameter, can be used as a prognostic factor in small cell lung cancer.

Indexed as

AdultAgedBiomarkers, TumorCombined Modality TherapyErythrocytesFemaleFollow-Up StudiesHemoglobinsHumansLung NeoplasmsLymphocytesMaleMiddle AgedNeutrophilsPrognosisRetrospective StudiesBiomarkers, TumorHemoglobinsHemoglobinprognosisred blood cell distribution widthsmall cell lung cancer

Identifiers

PMID32087605
PMCPMC7113058

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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.