Evidence map›Paper›PMID 32458064›Full record

ArticleAnnals of hematology2020

Prognostic value of pretreatment neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios in multiple myeloma patients treated with thalidomide-based regimen.

Aneta Szudy-Szczyrek, Radosław Mlak, Michał Mielnik, Michał Szczyrek, Aleksandra Nowaczyńska, Iwona Homa-Mlak, Szymon Zmorzyński, Kinga Kuśmierczuk, Jacek Sompor, Agata Filip and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

12 authors at 1 institution in 1 country.

Aneta Szudy-SzczyrekChair and Department of Haematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081, Lublin, Poland. anetaszudy@gmail.com.ORCID https://orcid.org/0000-0003-2352-394X
Radosław MlakChair and Department of Human Physiology, Medical University of Lublin, 20-080, Lublin, Poland.
Michał MielnikChair and Department of Haematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081, Lublin, Poland.
Michał SzczyrekChair and Department of Pneumology, Oncology and Allergology, Medical University of Lublin, 20-090, Lublin, Poland.
Aleksandra NowaczyńskaChair and Department of Haematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081, Lublin, Poland.
Iwona Homa-MlakChair and Department of Human Physiology, Medical University of Lublin, 20-080, Lublin, Poland.
Szymon ZmorzyńskiDepartment of Cancer Genetics with Cytogenetics Laboratory, Medical University of Lublin, 20-080, Lublin, Poland.
Kinga KuśmierczukChair and Department of Haematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081, Lublin, Poland.
Jacek SomporDepartment of Traumatology and Emergency Medicine, Medical University of Lublin, 20-081, Lublin, Poland.
Agata FilipDepartment of Cancer Genetics with Cytogenetics Laboratory, Medical University of Lublin, 20-080, Lublin, Poland.
Teresa Małecka-MassalskaChair and Department of Human Physiology, Medical University of Lublin, 20-080, Lublin, Poland.
Marek HusChair and Department of Haematooncology and Bone Marrow Transplantation, Medical University of Lublin, 20-081, Lublin, Poland.
Medical University of Lublin · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neutrophils to lymphocytes ratio (NLR) and platelets to lymphocytes ratio (PLR) are considered as laboratory markers of inflammation. They can be potentially useful in predicting the course of multiple neoplasms including selected hematological cancers. The aim of the study was to assess the value of NLR and PLR in predicting the effects of therapy and prognosis in multiple myeloma patients treated with thalidomide-based regimen. The study group consisted of 100 patients treated with the first line CTD (cyclophosphamide, thalidomide, and dexamethasone) chemotherapy. The NLR and PLR were calculated before treatment. High NLR was observed in patients with higher stage of the disease, with poor performance status, hypercalcemia, and high CRP. High PLR was associated with low BMI and high CRP. In patients with high NLR, significantly shorter PFS was observed (17 vs. 26 months, p = 0.0405). In addition, high values of NLR and PLR were associated with significantly shorter OS (38 vs. 79 months, p = 0.0010; 40 vs. 78 months, p = 0.0058). Summarizing, NLR and PLR have a significant independent prognostic value for multiple myeloma patients. Furthermore, the NLR can be a predictive marker for the outcome of thalidomide-based chemotherapy.

Indexed as

AgedBlood PlateletsFemaleFollow-Up StudiesHumansImmunosuppressive AgentsLymphocyte CountLymphocytesMaleMiddle AgedMultiple MyelomaNeutrophilsPlatelet CountPrognosisSurvival RateThalidomideImmunosuppressive AgentsThalidomideMultiple myelomaNLRPLRPrognostic factorsThalidomide

Identifiers

PMID32458064
PMCPMC7683474
OpenAlexW3030687144

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Registered trials

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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.