Evidence map›Paper›PMID 33276550›Full record

ArticleCancers2020

Immune Cell Infiltrate and Prognosis in Gastric Cancer.

Niko Kemi, Niko Hiltunen, Juha P Väyrynen, Vesa-Matti Pohjanen, Olli Helminen, Anna Junttila, Johanna Mrena, Jan Böhm, Heikki Huhta, Joni Leppänen and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Tertiary lymphoid structures and gastric cancer prognosis.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. CD3Diseases (Basel, Switzerland) · 2021
    Article
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 4 institutions in 2 countries.

Niko KemiCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.ORCID 0000-0001-6012-0010
Niko HiltunenCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Juha P VäyrynenCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.ORCID 0000-0002-8683-2996
Vesa-Matti PohjanenCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Olli HelminenCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Anna JunttilaDepartment of Surgery, Central Finland Central Hospital, 40620 Jyväskylä, Finland.
Johanna MrenaDepartment of Surgery, Central Finland Central Hospital, 40620 Jyväskylä, Finland.
Jan BöhmDepartment of Pathology, Central Finland Central Hospital, 40620 Jyväskylä, Finland.
Heikki HuhtaCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Joni LeppänenCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Tuomo J KarttunenCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Joonas H KauppilaCancer and Translational Medicine Research Unit, Medical Research Centre, University of Oulu and Oulu University Hospital, 90220 Oulu, Finland.
Oulu University Hospital · FICentral Finland Health Care District · FIKarolinska University Hospital · SETampere University Hospital · FI

Funding

Finnish Cancer Foundation -Instrumentarium Science Foundation -Mary and Georg C. Ehrnroot Foundation -Orion Research Foundation -Sigrid Jusélius Foundation -The Finnish Medical Foundation -Thelma Mäkikyrö Foundation -Vatsatautien tutkimussäätiö -
6 · The paper itself

Abstract

purposeTo examine and compare the prognostic value of immune cell score (ICS) and Klintrup-Mäkinen (KM) grade in gastric cancer.

methodsGastric adenocarcinoma tissues from samples of 741 patients surgically treated in two hospitals in Finland were assessed for ICS and KM grade. Cox regression with adjustment for confounders provided hazard ratios (HRs) and 95% CIs. Subgroup analyses were performed in intestinal and diffuse type subgroups. The primary outcome was 5-year overall survival.

resultsHigh ICS was associated to longer 5-year survival (adjusted HR 0.70, 95% CI 0.52-0.94), compared to low ICS. The difference was significant in intestinal type subgroup (adjusted HR 0.54, 95% CI 0.36-0.81) but not in diffuse type subgroup (adjusted HR 0.92, 95% CI 0.58-1.46). High KM grade was an independent prognostic factor for longer 5-year overall survival (adjusted HR 0.59, 95% CI 0.45-0.77) in both intestinal (adjusted HR 0.61, 95% CI 0.44-0.85) and diffuse subgroups (adjusted HR 0.52, 95% CI 0.31-0.86). ICS and KM grade were moderately correlated (ρ = 0.425). When both immune cell score and KM grade were included in the regression analysis, only KM grade remained prognostic.

conclusionsBoth ICS and KM grade are prognostic factors in gastric adenocarcinoma, but immunohistochemistry-based ICS might not have additional prognostic value over hematoxylin-eosin-based KM grade.

Indexed as

gastric cancerinflammationKM-gradelymphocyteprognosis

Identifiers

PMID33276550
PMCPMC7761548
OpenAlexW3107537202

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.