Evidence map›Paper›PMID 33675070›Full record

ArticleThe oncologist2021

Neutrophil-to-Apolipoprotein A1 Ratio Predicted Overall Survival in Hepatocellular Carcinoma Receiving Transarterial Chemoembolization.

Jie Chen, Yong-Jian Chen, Nan Jiang, Jian-Liang Xu, Zi-Ming Liang, Ming-Jun Bai, Yan-Fang Xing, Zhuo Liu, Xiang-Yuan Wu, Xing Li

Abstract read
In one paragraph

Article in The oncologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. CD137Journal of translational medicine · 2024
    Article
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  7. Lipid metabolism and tumor immunotherapy.Frontiers in cell and developmental biology · 2023
    Review
  8. Article
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  10. Article
  11. Apolipoproteins: New players in cancers.Frontiers in pharmacology · 2022
    Review
  12. 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

10 authors.

Jie Chen *Department of Medical Oncology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Yong-Jian Chen *Department of Medical Oncology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Nan Jiang *Department of Transplantation, Third People's Hospital of Shenzhen and the Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, People's Republic of China.
Jian-Liang XuDepartment of Hepatobiliary Surgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Zi-Ming LiangDepartment of Liver Transplant Program, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Ming-Jun BaiInterventional Radiology Program, Lin-Nan Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Yan-Fang XingDepartment of Nephrology, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, People's Republic of China.
Zhuo LiuSchool of Public Health, Sun Yat-sen University, Guangzhou, People's Republic of China.
Xiang-Yuan WuDepartment of Medical Oncology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.
Xing LiDepartment of Medical Oncology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.ORCID 0000-0001-9145-4769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to investigate the predictive capability of neutrophil-to-apolipoprotein A1 ratio (NAR) for predicting overall survival (OS) among patients with hepatocellular carcinoma (HCC) receiving transarterial chemoembolization (TACE). PATIENTS AND

methodsWe investigated the clinical features of 554 patients with HCC receiving TACE and assessed NAR's predictive value for OS with 222 patients (the discovery cohort) and 332 patients (the validation cohort). The association of NAR with circulation lectin-type oxidized low-density lipoprotein receptor-1-positive (LOX-1

resultsMultivariate Cox regression revealed that lymphocyte count; Tumor, Node, Metastasis (TNM) stage; and NAR were independent prognostic factors in the discovery cohort. The validation cohort confirmed the independent prognostic value of TNM stage and NAR. Patients with low NAR (<2.7) displayed significantly increased OS in the discovery cohort (59.8 months vs. 21 months), the validation group (38.0 months vs. 23.6 months), and the total cohort (44.1 months vs. 22.0 months). A Cox proportional hazards model was used to combine Cancer of the Liver Italian Program (CLIP) score with discretized NAR. C-index illustrated that NAR-integrated CLIP score was the best model compared with NAR and CLIP score. Furthermore, NAR-CLIP presented superior predictive capacity for 10-, 20-, 30-, 40-, 50-, and 60-month survival compared with CLIP score by survival receiver-operator characteristic analysis in the discovery cohort, validation cohort, and total cohort. NAR was significantly associated with LOX-1

conclusionThis study identified NAR as an independent predictor for OS among patients with HCC receiving TACE. NAR reflected circulation LOX-1 IMPLICATIONS FOR PRACTICE: The present study identified neutrophil-to-apolipoprotein A1 ratio (NAR) as an independent predictor for overall survival among patients with hepatocellular carcinoma receiving transarterial chemoembolization. NAR reflected circulation level of lectin-type oxidized low-density lipoprotein receptor-1-positive polymorphonuclear myeloid-derived suppressor cells.

Indexed as

Carcinoma, HepatocellularChemoembolization, TherapeuticLiver NeoplasmsApolipoprotein A-IHumansNeutrophilsRetrospective StudiesTreatment OutcomeApolipoprotein A-IHepatocellular carcinomaNeutrophil-to-apolipoprotein A1 ratioOverall survivalPolymorphonuclear myeloid-derived suppressor cellsTransarterial chemoembolization

Identifiers

PMID33675070
PMCPMC8342583

What OpenQuestion holds

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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.