Evidence map›Paper›PMID 32599747›Full record

ArticleNutrients2020

Profiles Combining Muscle Atrophy and Neutrophil-to-Lymphocyte Ratio Are Associated with Prognosis of Patients with Stage IV Gastric Cancer.

Kota Shigeto, Takumi Kawaguchi, Shunji Koya, Keisuke Hirota, Toshimitsu Tanaka, Sachiko Nagasu, Masaru Fukahori, Tomoyuki Ushijima, Hiroo Matsuse, Keisuke Miwa and 2 more

Abstract read
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. Pooled it
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  4. Observational
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  16. Article
  17. Neutrophil Extracellular Traps: A New Player in Cancer Metastasis and Therapeutic Target.Journal of experimental & clinical cancer research : CR · 2021
    Review
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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.

Kota ShigetoMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Takumi KawaguchiDivision of Gastroenterology, Kurume University School of Medicine, Kurume 830-0011, Japan.ORCID 0000-0002-7064-4325
Shunji KoyaDivision of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan.
Keisuke HirotaDivision of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan.
Toshimitsu TanakaMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Sachiko NagasuMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Masaru FukahoriMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Tomoyuki UshijimaMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Hiroo MatsuseDivision of Rehabilitation, Kurume University Hospital, Kurume 830-0011, Japan.
Keisuke MiwaMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Koji NagafujiMultidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume 830-0011, Japan.
Takuji TorimuraDivision of Gastroenterology, Kurume University School of Medicine, Kurume 830-0011, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to investigate the impact of muscle atrophy and the neutrophil-to-lymphocyte ratio (NLR), a sub-clinical biomarker of inflammation and nutrition, on the prognosis of patients with unresectable advanced gastric cancer. We retrospectively enrolled 109 patients with stage IV gastric cancer (median age 69 years; female/male 22%/78%; median observational period 261 days). Independent factors and profiles for overall survival (OS) were determined by Cox regression analysis and decision-tree analysis, respectively. OS was calculated using the Kaplan-Meier method. The prevalence of muscle atrophy was 82.6% and the median NLR was 3.15. In Cox regression analysis, none of factors were identified as an independent factor for survival. The decision-tree analysis revealed that the most favorable prognostic profile was non-muscle atrophy (OS rate 36.8%). The most unfavorable prognostic profile was the combination of muscle atrophy and high NLR (OS rate 19.6%). The OS rate was significantly lower in patients with muscle atrophy and high NLR than in patients with non-muscle atrophy (1-year survival rate 28.5% vs. 54.7%; log-rank test

Indexed as

Muscular AtrophyStomach NeoplasmsAgedFemaleHumansInflammationLymphocyte CountMaleMalnutritionPrognosisRetrospective StudiesSurvival Analysisinflammationmalnutritionmortalityskeletal musclestomach cancer

Identifiers

PMID32599747
PMCPMC7353220

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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.