Evidence map›Paper›PMID 33201589›Full record

SynthesisCancer medicine2020

The prognostic role of C-reactive protein in patients with head and neck squamous cell carcinoma: A meta-analysis.

Yanglan Chen, Rong Cong, Chengjian Ji, Wenhua Ruan

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
1.3field-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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. C-reactive protein and its ratio with albumin as a marker of poor prognosis in oral cancer: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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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

4 authors at 2 institutions in 1 country.

Yanglan ChenDepartment of Stomatology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang Province, China.
Rong CongDepartment of Urology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0001-7949-3132
Chengjian JiDepartment of Urology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0001-9110-104X
Wenhua RuanDepartment of Stomatology, The Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, Zhejiang Province, China.ORCID 0000-0002-0707-1720
Children's Hospital of Zhejiang University · CNJiangsu Province Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic role of the C-reactive protein (CRP) in head and neck squamous cell carcinoma (HNSCC) has not been well investigated. This meta-analysis aimed to evaluate the prognostic relevance of elevated CRP levels in patients with HNSCC.

methodsA relevant literature search was performed in PubMed, Web of Science, and Embase up to September 1, 2020. The pooled odds ratio and hazard ratio (HR) with 95% confidence interval (CI) were applied to evaluate the difference in overall survival (OS), progress-free survival (PFS), and cancer-specific survival (CSS) between patients with high CRP and those without. The pooled odds ratio (OR) with 95% CI were used to assess the association between CRP and clinicopathological features.

resultsA total of 17 studies, including 4449 patients, were included. Pooled results showed that an elevated CRP was associated with worse OS (HR = 1.48, 95% CI: 1.24-1.77), CSS (HR = 1.85, 95% CI: 1.38-2.46), and PFS (HR = 1.73, 95% CI: 1.38-2.17). Male patients, lymph node metastases, and higher tumor stage were related to elevated CRP level (OR = 1.67, 95% CI: 1.34-2.09; OR = 2.40, 95% CI: 1.44-3.99; OR = 1.39, 95% CI: 1.12-1.74).

conclusionOur meta-analysis demonstrated that an elevated pretreatment of CRP indicates poor prognosis in HNSCC. Therefore, CRP is an indicator of the prognosis of patients with HNSCC and can be recommended for assessing prognoses in clinical work.

Indexed as

Biomarkers, TumorC-Reactive ProteinHead and Neck NeoplasmsHumansLymphatic MetastasisNeoplasm StagingPrognosisSex FactorsSquamous Cell Carcinoma of Head and NeckSurvival RateBiomarkers, TumorC-Reactive ProteinC-reactive proteinhead and neck squamous cell carcinomameta-analysisprognosis

Identifiers

PMID33201589
PMCPMC7774749
OpenAlexW3099315141

What OpenQuestion holds

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LicenceCC BY
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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.