Evidence map›Paper›PMID 32318926›Full record

ArticleClinical and experimental medicine2020

The association of neutrophil-to-lymphocyte ratio with all-cause mortality in Chinese patients with MPO-ANCA associated vasculitis.

Li Huang, Chanjuan Shen, Yong Zhong, Joshua D Ooi, Ya-Ou Zhou, Jin-Biao Chen, Ting Wu, Ting Meng, Zhou Xiao, Wei Lin and 5 more

Abstract read
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In one paragraph

Article in Clinical and experimental medicine, 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
2.4field-weighted citation impact, top 9% 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, 29 citations in OpenAlex.

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  11. High levels of plateletZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 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

15 authors at 2 institutions in 2 countries.

Li HuangDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Chanjuan ShenDepartment of Hematology, The Affiliated Zhuzhou Hospital Xiangya Medical College, Central South University, Zhuzhou, Hunan Province, China.
Yong ZhongDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China. zhongyong121@163.com.ORCID http://orcid.org/0000-0003-2520-0087
Joshua D OoiCentre for Inflammatory Diseases, Monash University, Clayton, VIC, 3168, Australia.
Ya-Ou ZhouDepartment of Rheumatology and Immunology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Jin-Biao ChenDepartment of Medical Records and Information, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Ting WuDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Ting MengDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Zhou XiaoDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Wei LinDepartment of Pathology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Xiang AoDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Rong TangDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Xiangcheng XiaoDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Qiaoling ZhouDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Ping XiaoDepartment of Nephrology, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.
Central South University · CNMonash University · AU

Funding

Chinese Society of Nephrology 18020010780National Natural Science Foundation of China 81800641the Elite Program of Xiangya hospital 666888the Natural Science Foundation of Hunan Province 2018JJ3818the Natural Science Foundation of Hunan Province 2018JJ3853the Project of Health Commission of Hunan province C2019184
6 · The paper itself

Abstract

Neutrophil-to-lymphocyte ratio (NLR) has been recently reported to be a promising inflammatory marker to assess systemic inflammation in many disorders. However, there are only a few studies looking at NLR in patients with myeloperoxidase (MPO)-anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV). This study was thus undertaken to explore the relationship between NLR at diagnosis with inflammatory response and disease activity among MPO-AAV patients in a single Chinese center. Furthermore, we evaluated whether NLR could predict the renal prognosis and patient outcome. 188 patients with MPO-AAV were included in this study. Baseline NLR was positively correlated with CRP (r = 0.404, P < 0.001) and negatively with serum levels of C3 (r =  - 0.163, P = 0.035), but it had no obvious correlation with Birmingham Vasculitis Activity Score (BVAS). Patients with MPO-AAV having NLR ≥ 9.53 exhibited higher risk for all-cause mortality than those having NLR < 9.53 (P < 0.0001). However, no significant difference was found in the kidney survival between patients having NLR ≥ 9.53 and those NLR < 9.53 at diagnosis. In multivariate analysis, NLR was positively associated with all-cause mortality (P = 0.037, HR = 1.98, 95% CI 1.04-3.78). There was no association between NLR with ESRD observed using univariate analysis or multivariate analysis. This large retrospective study of MPO-AAV patients in a single Chinese center demonstrates that NLR positively correlates with CRP and negatively correlates with serum levels of C3 in Chinese patients with MPO-AAV. Importantly, higher NLR predicts increased mortality and is, therefore, a useful independent prognostic in MPO-AAV.

Indexed as

AdultAgedAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisComplement C3FemaleGlomerular Filtration RateHumansKidneyLymphocyte CountMaleMiddle AgedNeutrophilsPeroxidasePrognosisReceptors, ImmunologicRetrospective StudiesComplement C3CRP protein, humanMPO protein, humanPeroxidaseReceptors, ImmunologicAnti-neutrophil cytoplasmic antibody-associated vasculitisMortalityMyeloperoxidaseNeutrophil-to-lymphocyte ratio

Identifiers

PMID32318926
OpenAlexW3017219730

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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.