Evidence map›Paper›PMID 33562331›Full record

ArticleJournal of clinical medicine2021

Prognostic Value of Preoperative Inflammatory Markers in Melanoma Patients with Brain Metastases.

Matthias Schneider, Niklas Schäfer, Christian Bode, Valeri Borger, Lars Eichhorn, Frank A Giordano, Erdem Güresir, Muriel Heimann, Yon-Dschun Ko, Felix Lehmann and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 18% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

19 authors at 2 institutions in 1 country.

Matthias SchneiderCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-6025-7479
Niklas SchäferCenter of Integrated Oncology (CIO) Bonn, Division of Clinical Neuro-Oncology, Department of Neurology, University Hospital Bonn, 53127 Bonn, Germany.
Christian BodeDepartment of Anesthesiology and Intensive Care, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-0830-870X
Valeri BorgerCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.
Lars EichhornDepartment of Anesthesiology and Intensive Care, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-9769-0639
Frank A GiordanoCenter of Integrated Oncology (CIO) Bonn, Department of Radiation Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Erdem GüresirCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0001-8319-0847
Muriel HeimannCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.
Yon-Dschun KoCenter of Integrated Oncology (CIO) Bonn, Department of Oncology and Hematology, Johanniter Hospital Bonn, 53113 Bonn, Germany.
Felix LehmannDepartment of Anesthesiology and Intensive Care, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0003-2847-9271
Anna-Laura PotthoffCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.
Alexander RadbruchDepartment of Neuroradiology, University Hospital Bonn, 53127 Bonn, Germany.
Christina SchaubCenter of Integrated Oncology (CIO) Bonn, Division of Clinical Neuro-Oncology, Department of Neurology, University Hospital Bonn, 53127 Bonn, Germany.
Katjana S SchwabCenter of Integrated Oncology (CIO) Bonn, Department of Internal Medicine III, University Hospital Bonn, 53127 Bonn, Germany.
Johannes WellerCenter of Integrated Oncology (CIO) Bonn, Division of Clinical Neuro-Oncology, Department of Neurology, University Hospital Bonn, 53127 Bonn, Germany.
Hartmut VatterCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.
Ulrich HerrlingerCenter of Integrated Oncology (CIO) Bonn, Division of Clinical Neuro-Oncology, Department of Neurology, University Hospital Bonn, 53127 Bonn, Germany.
Jennifer LandsbergCenter of Integrated Oncology (CIO) Bonn, Department of Dermatology and Allergy, University Hospital Bonn, 53127 Bonn, Germany.
Patrick SchussCenter of Integrated Oncology (CIO) Bonn, Department of Neurosurgery, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-5806-2576
University Hospital Bonn · DEJohanniter-Krankenhaus Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetastatic melanoma disease is accompanied by highly systemic inflammatory responses. The prognostic value of preoperative laboratory inflammation markers in brain metastatic melanoma patients has not been adequately investigated so far.

methodsPreoperative inflammatory blood parameters were correlated to overall survival (OS) rates in melanoma patients that underwent surgery for brain metastasis (BM) between 2013 and 2019 at the authors' institution. Receiver operating characteristic (ROC) analyses were used for cutoff determination of routine laboratory parameters.

resultsMedian OS in the present cohort of 30 melanoma patients with surgically treated BM was 7 months (95% confidence interval (CI) 5.7-8.3). Initial elevated C-reactive protein (CRP) levels (>10 mg/L), neutrophil-to-lymphocyte ratio (NLR) ≥ 4, platelet-to-lymphocyte ratio (PLR) ≥ 145, and lymphocyte-to-monocyte ratio (LMR) < 2 were associated with significantly reduced OS rates.

conclusionsThe present study identifies several preoperative peripheral inflammatory markers as indicators for poor prognosis in melanoma patients with BM undergoing neurosurgical treatment. Elevated initial CRP values, higher NLR and PLR, and lower LMR were associated with reduced OS and, thus, might be incorporated into preoperative interdisciplinary treatment planning and counseling for affected patients.

Indexed as

brain metastasisinflammationmelanomaoverall survivalsurgical resection

Identifiers

PMID33562331
PMCPMC7915758
OpenAlexW3128523684

What OpenQuestion holds

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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.