Evidence map›Paper›PMID 32481366›Full record

Observational studyMedicine2020

Utility of neutrophil-to-lymphocyte ratio to identify long-term survivors among HCC patients treated with sorafenib.

Andrea Casadei-Gardini, Vincenzo Dadduzio, Giulia Rovesti, Giuseppe Cabibbo, Ranka Vukotic, Mario Domenico Rizzato, Giulia Orsi, Margherita Rossi, Valeria Guarneri, Sara Lonardi and 7 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. The prognostic value of selected indices combination in hepatocellular carcinoma patients treated with sorafenib.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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

17 authors at 8 institutions in 2 countries.

Andrea Casadei-GardiniUnit of Oncology, Department of Oncology, University Hospital of Modena and Reggio Emilia, Modena.
Vincenzo DadduzioMedical Oncology Unit 1, Istituto Oncologico Veneto IRCCS, Padova.
Giulia RovestiUnit of Oncology, Department of Oncology, University Hospital of Modena and Reggio Emilia, Modena.
Giuseppe CabibboSection of Gastroenterology and Hepatology, Dipartimento di Promozione della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza (PROMISE), University of Palermo.
Ranka VukoticHepatology Unit, AOU Policlinico di Sant'Orsola and University of Bologna, Bologna.
Mario Domenico RizzatoMedical Oncology Unit 1, Istituto Oncologico Veneto IRCCS, Padova.
Giulia OrsiUnit of Oncology, Department of Oncology, University Hospital of Modena and Reggio Emilia, Modena.
Margherita RossiSection of Gastroenterology and Hepatology, Dipartimento di Promozione della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza (PROMISE), University of Palermo.
Valeria GuarneriHepatology Unit, AOU Policlinico di Sant'Orsola and University of Bologna, Bologna.
Sara LonardiMedical Oncology Unit 1, Istituto Oncologico Veneto IRCCS, Padova.
Dario D'agostinoSection of Gastroenterology and Hepatology, Dipartimento di Promozione della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza (PROMISE), University of Palermo.
Ciro CelsaSection of Gastroenterology and Hepatology, Dipartimento di Promozione della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza (PROMISE), University of Palermo.
Pietro AndreoneHepatology Unit, AOU Policlinico di Sant'Orsola and University of Bologna, Bologna.
Vittorina ZagonelMedical Oncology Unit 1, Istituto Oncologico Veneto IRCCS, Padova.
Mario ScartozziDepartment of Medical Oncology, University of Cagliari, Cagliari, Italy.
Stefano CascinuUnit of Oncology, Department of Oncology, University Hospital of Modena and Reggio Emilia, Modena.
Alessandro CucchettiDepartment of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, UK.
University of Modena and Reggio Emilia · ITIstituto Oncologico Veneto · ITUniversity of Bologna · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITOspedale G.B. Morgagni - L.Pierantoni · ITPoliclinico S.Orsola-Malpighi · ITUniversity of Cagliari · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sorafenib is the first multikinase inhibitor demonstrating a survival benefit for patients suffering from advanced hepatocellular carcinoma (HCC). However, 1 issue remains open: what is the factor able to predict which patients will be long survivors?In the present study, we harnessed the potential of conditional survival, aiming at estimating the probability that a patient receiving sorafenib survives for more than 3 years.The present multicentric study was conducted on a cohort of 438 HCC patients. The primary end point was conditional overall survival. Kaplan-Meier survival analysis was used to calculate conditional overall survival probabilities at 3 years.The 3-year conditional survival of patients without disease progression highlights that NLR and ECOG are the factors that most accurately predict the probability of long survival. The 3-year conditional survival of patients with disease progression showed a medium effect size for HCV status, alpha-fetoprotein and NLR at all time-points. Macro-vascular portal vein invasion, extra hepatic disease, and BCLC we have a large effect size at 6 months and a medium effect size at 12 and 24 months.Our findings support the use of baseline NLR for the identification of patients with a higher probability of long-survival. NLR should be used as a stratification factor in the forthcoming clinical trials on the drugs for the advanced HCC now in pipeline.

Indexed as

AgedAntineoplastic AgentsCarcinoma, HepatocellularCohort StudiesFemaleHumansItalyLiver NeoplasmsLymphocyte CountMaleMiddle AgedProgression-Free SurvivalSorafenibSurvivorsAntineoplastic AgentsSorafenib

Identifiers

PMID32481366
PMCPMC12245241
OpenAlexW3029723648

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.