Evidence map›Paper›PMID 33648449›Full record

SynthesisBMC cancer2021

The relationship between the expression of Ki-67 and the prognosis of osteosarcoma.

Ming Zeng, Jian Zhou, Lifang Wen, Yanshan Zhu, Yingquan Luo, Wanchun Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed.

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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

6 authors.

Ming ZengDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, 410011, China.
Jian ZhouDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, 410011, China.
Lifang WenDepartment of Dermatology, Hunan Key Laboratory of Medical Epigenomes, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Yanshan ZhuDepartment of Dermatology, Hunan Key Laboratory of Medical Epigenomes, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Yingquan LuoDepartment of General Medicine, The Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China. luoyingquan@csu.edu.cn.
Wanchun WangDepartment of Orthopedics, The Second Xiangya Hospital, Central South University, 139 Renmin Middle Road, Changsha, 410011, China. wanchun.wang@csu.edu.cn.

Funding

Central South University 2018zzts930 & GCX20190879Y
6 · The paper itself

Abstract

backgroundA number of studies have linked positive Ki-67 expression with the prognosis of osteosarcoma (OS) patients. However, the results have been conflicting. To address this controversy, we conducted an analysis using a meta-analysis and a TCGA dataset to estimate the value of Ki-67 expression in the prognosis of OS.

methodsA comprehensive search for relevant papers was conducted using NCBI PubMed, Embase, Springer, ISI Web of Knowledge, the Cochrane Library, and CNKI regardless of the publication year. The associations between Ki-67 expression and the clinical features and main prognostic outcomes of OS were measured. The TCGA dataset was also analyzed. The pooled odds ratio (OR) and its 95% confidential intervals (CIs) were utilized for statistical analysis.

resultsOverall, a total of 12 studies with 500 cases were included, and the results indicated that the expression of Ki-67 was significantly associated with Enneking stage (OR = 6.88, 95% CI: 2.92-16.22, p < 0.05), distant metastasis (OR = 3.04, 95% CI: 1.51-6.12, p < 0.05) and overall survival (OR = 8.82, 95% CI: 4.68-16.65, p < 0.05) in OS patients. Additionally, we observed no significant heterogeneity among all retrieved studies. Associations between Ki-67 expression and overall survival and disease-free survival of sarcoma were confirmed using the TCGA and Kaplan-Meier plotter datasets.

conclusionThe present study strongly suggests that positive Ki-67 expression was associated with Enneking stage, distant metastasis, and overall survival of OS, and it may be used as a potential biomarker to predict prognosis and guide clinical therapy for OS.

Indexed as

Antigens, NeoplasmBone NeoplasmsDatasets as TopicDisease-Free SurvivalGene Expression Regulation, NeoplasticHumansKaplan-Meier EstimateKi-67 AntigenNeoplasm MetastasisNeoplasm StagingOsteosarcomaPrognosisPublication BiasSarcomaUp-RegulationAntigens, NeoplasmKi-67 AntigenClinicopathological featuresKi-67Meta-analysisOsteosarcomaPrognosisTCGA dataset

Identifiers

PMID33648449
PMCPMC7923819

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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.