Evidence map›Paper›PMID 33562397›Full record

ArticleCancers2021

The Prognostic Value of the New Combined Hemo-Eosinophil Inflammation Index (HEI Index): A Multicenter Analysis of Anal Cancer Patients Treated with Concurrent Chemo-Radiation.

Margherita Rimini, Pierfrancesco Franco, Berardino De Bari, Maria Giulia Zampino, Stefano Vagge, Giovanni Luca Frassinetti, Francesca Arcadipane, Almalina Bacigalupo, Martina Valgiusti, Deborah Aloi and 6 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Optimising chemoradiotherapy in anal cancer.ESMO gastrointestinal oncology · 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

16 authors.

Margherita RiminiDepartment of Oncology and Hematology, Division of Oncology, University Hospital Modena, 41000 Modena, Italy.
Pierfrancesco FrancoDepartment of Oncology, Radiation Oncology, University of Turin, 10126 Turin, Italy.ORCID 0000-0003-2276-0687
Berardino De BariDepartment of Radiation Oncology, University Hospital of Besançon, 25000 Besançon, France.
Maria Giulia ZampinoDivision of Gastrointestinal Oncology and Neuroendocrine Tumors, European Institute of Oncology, IRCCS, 20019 Milan, Italy.
Stefano VaggeDepartment of Radiation Oncology, IRCCS Ospedale Policlinico San Martino, 16121 Genova, Italy.ORCID 0000-0002-8212-7069
Giovanni Luca FrassinettiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori 'Dino Amadori'-IRST, 47014 Meldola, Italy.
Francesca ArcadipaneDepartment of Oncology, Radiation Oncology, University of Turin, 10126 Turin, Italy.
Almalina BacigalupoDepartment of Radiation Oncology, IRCCS Ospedale Policlinico San Martino, 16121 Genova, Italy.
Martina ValgiustiDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori 'Dino Amadori'-IRST, 47014 Meldola, Italy.
Deborah AloiDepartment of Radiation Oncology, University Hospital of Besançon, 25000 Besançon, France.
Lorenzo GervasoDivision of Gastrointestinal Oncology and Neuroendocrine Tumors, European Institute of Oncology, IRCCS, 20019 Milan, Italy.ORCID 0000-0003-3313-8527
Renzo CorvòDepartment of Radiation Oncology, IRCCS Ospedale Policlinico San Martino and Health Science Department (DISSAL), University of Genova, 16121 Genova, Italy.ORCID 0000-0002-5001-4844
Giulia BartoliniDepartment of Medical Oncology, IRCCS Istituto Romagnolo per lo Studio dei Tumori 'Dino Amadori'-IRST, 47014 Meldola, Italy.
Marianna Alessandra GerardiDivision of Radiotherapy, European Institute of Oncology, IRCCS, 20019 Milan, Italy.
Stefano CascinuDepartment of Oncology, IRCCS San Raffaele Scientific Institute Hospital, 20019 Milan, Italy.
Andrea Casadei-GardiniDepartment of Oncology, IRCCS San Raffaele Scientific Institute Hospital, 20019 Milan, Italy.ORCID 0000-0001-6289-7202

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anal squamous cell carcinoma (SCC) is a rare tumor, and bio-humoral predictors of response to chemo-radiation (CT-RT) are lacking. We developed a prognostic score system based on laboratory inflammation parameters. We investigated the correlation between baseline clinical and laboratory variables and disease-free (DFS) and overall (OS) survival in anal SCC patients treated with CT-RT in five institutions. The bio-humoral parameters of significance were included in a new scoring system, which was tested with other significant variables in a Cox's proportional hazard model. A total of 308 patients was included. We devised a prognostic model by combining baseline hemoglobin level, SII, and eosinophil count: the Hemo-Eosinophils Inflammation (HEI) Index. We stratified patients according to the HEI index into low- and high-risk groups. Median DFS for low-risk patients was not reached, and it was found to be 79.5 months for high-risk cases (Hazard Ratio 3.22; 95% CI: 2.04-5.10;

Indexed as

inflammationprognostic factorsprognostic indexsquamous cell anal cancer

Identifiers

PMID33562397
PMCPMC7914854

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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.