Evidence map›Paper›PMID 33819441›Full record

ArticleTurkish journal of urology2021

Impact of albumin to globulin ratio on survival outcomes of patients with metastatic renal cell carcinoma.

Oktay Halit Aktepe, Gürkan Güner, Deniz Can Güven, Hakan Taban, Hasan Çağrı Yıldırım, Taha Koray Şahin, Fadime Sinem Ardıç, Hacı Hasan Yeter, Deniz Yüce, Mustafa Erman

Open access · greenAbstract read
In one paragraph

Article in Turkish journal of urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
0.5field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. 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 at 3 institutions in 1 country.

Oktay Halit AktepeHacettepe University Cancer Institute, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3540-0701
Gürkan GünerHacettepe University Cancer Institute, Ankara, Turkey.ORCID http://orcid.org/0000-0003-2275-1158
Deniz Can GüvenHacettepe University Cancer Institute, Ankara, Turkey.ORCID http://orcid.org/0000-0002-6924-9467
Hakan TabanHacettepe University Cancer Institute, Ankara, Turkey.ORCID http://orcid.org/0000-0002-2004-7741
Hasan Çağrı YıldırımHacettepe University Cancer Institute, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3060-377X
Taha Koray ŞahinDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0002-3590-0426
Fadime Sinem ArdıçDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0002-0232-9630
Hacı Hasan YeterDepartment of Nephrology, Gazi University Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0002-5787-1048
Deniz YüceDepartment of Preventive Oncology, Hacettepe University Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0003-0725-5447
Mustafa ErmanDepartment of Preventive Oncology, Hacettepe University Faculty of Medicine, Ankara, Turkey.ORCID http://orcid.org/0000-0001-5884-4669
Hacettepe University Hospital · TRHacettepe University · TRGazi University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe albumin to globulin ratio (AGR) has been demonstrated to be associated with survival outcomes in various tumor types. However, the prognostic value of AGR in patients with metastatic renal carcinoma (mRCC) remains unclear. Therefore, this study aimed to investigate the impact of AGR values in predicting overall survival (OS) of patients with mRCC treated with targeted therapy. MATERIAL AND

methodsA total of 163 patients with mRCC treated with targeted therapy between 2008 and 2019 were enrolled. The AGR value was measured as AGR: albumin/(total protein-albumin). The Kaplan-Meier method with long-rank testing and Cox proportional hazard models were used to estimate the correlation of AGR with OS.

resultsThe receiver operating characteristic curve analysis showed that the optimal cut-off value of AGR in predicting OS was 1.11 with a sensitivity of 37.25% and specificity of 85.25% (area under curve, 0.62; 95% confidence interval [CI], 0.54-0.69; p=0.005). OS was significantly higher in patients with AGR>1.11 than in those with AGR≤1.11 (36.2 vs. 12.4 months; p<0.001). After adjustment for the number of covariates, multivariate Cox regression analysis identified a high AGR as an independent indicator of better OS (hazard ratio, 0.476; 95% CI, 0.304-0.745; p=0.001).

conclusionOur results suggested that AGR value, which is an easily obtainable and cost-effective marker in routine biochemistry testing, could function as an independent predictor of OS in patients with mRCC treated with targeted therapy.

Identifiers

PMID33819441
PMCPMC8018802
OpenAlexW3139349919

What OpenQuestion holds

Textmetadata
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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.