Evidence map›Paper›PMID 33269614›Full record

SynthesisCancer control : journal of the Moffitt Cancer Center

Chemotherapy-Induced Reduction of Neutrophil-to-Lymphocyte Ratio Is Associated With Better Survival in Pancreatic Adenocarcinoma: A Meta-Analysis.

Xin Luo, Bo Yu, Nan Jiang, Qiong Du, Xuan Ye, Huan Li, Wen-Quan Wang, Qing Zhai

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

8 authors at 2 institutions in 1 country.

Xin LuoDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.ORCID https://orcid.org/0000-0002-4592-6734
Bo YuDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.
Nan JiangShanghai Institution of Planned Parenthood Research, Fudan University, Shanghai, China.
Qiong DuDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.
Xuan YeDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.
Huan LiDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.
Wen-Quan WangDepartment of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Qing ZhaiDepartment of Pharmacy, Fudan University Shanghai Cancer Center, Shanghai, China.
Shanghai Medical College of Fudan University · CNFudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNumerous studies have suggested that an increase in neutrophil-to-lymphocyte ratio (NLR) before treatment is associated with worse survival in pancreatic adenocarcinoma (PAC). The aim of this study was to investigate the prognostic value of treatment-induced NLR change among PAC patients so as to better identify the characteristics of those who can benefit more from treatment.

methodsThis meta-analysis was undertaken using the PRISMA statement. Previously published studies between the correlation of NLR change and patients' survival were searched in Pubmed, Embase, and Web of Science databases. RevMan 5.3 was used to conduct statistical analysis.

resultsA total of 1213 patients with PAC from 6 retrospective studies were included in this meta-analysis. Four studies investigated the HR of pre-treatment NLR, demonstrating its prognostic impact on overall survival (OS) (HR = 2.21, 95%CI: 1.45-3.36). One study reported that an elevated post-treatment NLR was associated with poorer OS (HR = 1.28, 95%CI = 1.08-1.52). Pooled analysis indicated that NLR reduction might predict favorable survival in both the overall population (HR = 1.52, 95% CI: 1.34-1.73) and the subgroup treated with chemotherapy (HR = 1.50, 95% CI: 1.32-1.70).

conclusionTreatment-induced NLR change can act as an early predictor for PAC. Patients with reduced NLR after chemotherapy are expected to have better survival.

Indexed as

AdenocarcinomaAntineoplastic AgentsFemaleHumansLymphocytesNeutrophilsPancreatic NeoplasmsSurvival AnalysisAntineoplastic Agentsmeta-analysisneutrophil-to-lymphocyte ratiopancreatic adenocarcinomaprognosissystemic inflammatory response

Identifiers

PMID33269614
PMCPMC8480367
OpenAlexW3109743937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.