Evidence map›Paper›PMID 32314154›Full record

ArticleAnnals of surgical oncology2020

Dynamic Neutrophil-to-Lymphocyte Ratio: A Novel Prognosis Measure for Triple-Negative Breast Cancer.

Dan Moldoveanu, Vera Pravongviengkham, Gordie Best, Constanza Martínez, Tarek Hijal, Ari Nareg Meguerditchian, Mathieu Lajoie, Sinziana Dumitra, Ian Watson, Sarkis Meterissian

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Article in Annals of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Harnessing hematological ratios: prognostic insights for breast cancer management.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
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  8. Neutrophils in oncolytic virus immunotherapy.Frontiers in immunology · 2024
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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

10 authors.

Dan MoldoveanuMcGill University Health Centre, Verdun, QC, Canada. dan.moldoveanu@mail.mcgill.ca.
Vera PravongviengkhamMcGill University Health Centre, Verdun, QC, Canada.
Gordie BestMcGill University Health Centre, Verdun, QC, Canada.
Constanza MartínezMcGill University Health Centre, Verdun, QC, Canada.
Tarek HijalMcGill University Health Centre, Verdun, QC, Canada.
Ari Nareg MeguerditchianMcGill University Health Centre, Verdun, QC, Canada.
Mathieu LajoieMcGill University Health Centre, Verdun, QC, Canada.
Sinziana DumitraMcGill University Health Centre, Verdun, QC, Canada.
Ian WatsonMcGill University Health Centre, Verdun, QC, Canada.
Sarkis MeterissianMcGill University Health Centre, Verdun, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neutrophil-to-lymphocyte ratio (NLR) is a measure of systemic inflammation and a prognostic factor for multiple malignancies. This study assesses the value of the NLR as an independent prognostic marker in triple-negative breast cancer (TNBC) and explores the association between dynamic NLR changes and patient outcomes.

methodsThe study retrospectively analyzed a prospectively maintained database including patients 18 to 80 years old with TNBC treated at the authors' institution between 2006 to 2016. Clinical and demographic data were collected, including blood test results and treatments received. Age at diagnosis, stage of disease, and NLR scores were tested for association with overall and disease-free survival in uni- and multivariate Cox models.

resultsThe inclusion criteria were met by 329 women with a median age of 58. Most of the patients had early-stage disease (30.1% with stage 1 and 47% with stage 2 malignancy). An NLR higher than 2.84 at diagnosis was associated with decreased overall survival (hazard ratio [HR], 1.8; 95% confidence interval [CI], 1.023-3.176), whereas an NLR higher than 7.82 at any time during the follow-up period was a strong predictor of 5-year mortality (HR, 10.76; 95% CI, 4.193-26.58), independent of age or stage of disease. Patients who experienced recurrence had a higher NLR than their counterparts during the 6 months before recurrence. The NLR also significantly rose during the final 18 months of life (p < 0.01).

conclusionThe NLR is an important prognostic marker in TNBC, both at diagnosis and during the course of the disease. Moreover, dynamic changes in NLR strongly correlate with disease recurrence and the time of death.

Indexed as

NeutrophilsTriple Negative Breast NeoplasmsAdolescentAdultAgedAged, 80 and overFemaleHumansLymphocytesMiddle AgedNeoplasm Recurrence, LocalPrognosisRetrospective StudiesYoung Adult

Identifiers

PMID32314154

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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.