Evidence map›Paper›PMID 33716631›Full record

ArticleBreast care (Basel, Switzerland)2021

The Usefulness of the Pretreatment Neutrophil/Lymphocyte Ratio as a Predictor of the 5-Year Survival in Stage 1-3 Triple Negative Breast Cancer Patients.

Basem Azab, Julia R Amundson, Alessia Cioci, Heather Stuart, Danny Yakoub, Eli Avisar, Fredrick Moffat, Alan S Livingstone, Dido Franceschi

Abstract read
In one paragraph

Article in Breast care (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Neutrophil-to-lymphocyte ratio is associated with accelerometer-measured physical activity levels in breast cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    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

9 authors.

Basem AzabSurgical Oncology, Sentara Healthcare, Hampton, Virginia, USA.
Julia R AmundsonDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Alessia CiociDepartment of Surgical Oncology, University of Miami, Miami, Florida, USA.
Heather StuartDepartment of Surgical Oncology, University of British Colombia, Vancouver, British Columbia, Canada.
Danny YakoubDepartment of Surgical Oncology, University of Tennessee, Memphis, Tennessee, USA.
Eli AvisarDepartment of Surgical Oncology, University of Miami, Miami, Florida, USA.
Fredrick MoffatDepartment of Surgical Oncology, University of Miami, Miami, Florida, USA.
Alan S LivingstoneDepartment of Surgical Oncology, University of Miami, Miami, Florida, USA.
Dido FranceschiDepartment of Surgical Oncology, University of Miami, Miami, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe have previously shown that the neutrophil/lymphocyte ratio (NLR) is a predictor of survival among breast cancer patients. The aim of this study was to determine the predictive value of NLR among different nodal and chemotherapy subgroups of triple negative breast cancer (TNBC).

methodsPatients with stage 1-3 TNBC who underwent treatment from 2007 to 2014 and had blood counts prior to treatments were included. Patients were categorized into high (≥2) and low (<2) NLR groups. Primary outcomes were overall survival (OS) and disease-free survival (DFS).

resultsThe average follow-up time was 54 months. The high NLR group had worse OS (HR 2.8, CI 1.3-5.9,

conclusionHigh pretreatment NLR is an independent predictor of poor OS and DFS among TNBC patients. Combining NLR and pN provides better risk stratification for TNBC patients. Chemotherapy appears to be beneficial only in patients with high NLR. Larger prospective studies are needed to validate these findings.

Indexed as

MortalityNeutrophil/lymphocyte ratioTriple negative breast cancer

Identifiers

PMID33716631
PMCPMC7923932

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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.