Evidence map›Paper›PMID 33839963›Full record

ArticleInternational journal of clinical oncology2021

Association of albumin-bilirubin score in patients with colorectal cancer receiving later-line chemotherapy with regorafenib.

Daichi Watanabe, Hironori Fujii, Yunami Yamada, Nobuhisa Matsuhashi, Akitaka Makiyama, Hirotoshi Iihara, Takao Takahashi, Shigeru Kiyama, Ryo Kobayashi, Kazuhiro Yoshida and 1 more

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 21 citations in OpenAlex.

  1. Baseline hypoalbuminemia enhances regorafenib-induced problematic fatigue development in real-world metastatic colorectal cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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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

11 authors at 2 institutions in 1 country.

Daichi WatanabeDepartment of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan.
Hironori FujiiDepartment of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan. h_fujii@gifu-u.ac.jp.
Yunami YamadaDepartment of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan.
Nobuhisa MatsuhashiDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Akitaka MakiyamaDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Hirotoshi IiharaDepartment of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan.
Takao TakahashiDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Shigeru KiyamaDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Ryo KobayashiDepartment of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan.
Kazuhiro YoshidaDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Akio SuzukiDepartment of Pharmacy, Gifu University Hospital, Yanagido 1-1, Gifu, 501-1194, Japan.
Gifu University Hospital · JPGifu University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegorafenib is recognized as a later-line standard treatment in patients with metastatic colorectal cancer (mCRC). In this study, we examined the association of the albumin-bilirubin (ALBI) score in patients with mCRC receiving later-line chemotherapy with regorafenib. PATIENTS AND

methodsWe retrospectively analyzed data from patients with mCRC treated with regorafenib in a later line between January 2013 and December 2019. Patients were divided into a Normal-ALBI group (ALBI grade 1) and a High-ALBI group (ALBI grades 2 and 3). Primary endpoint was median overall survival (OS) and secondary endpoints were median time to treatment failure (TTF) and incidence of adverse events (AEs).

resultsData from 60 patients were analyzed (Normal-ALBI group: 32 patients and High-ALBI group: 28 patients). Median OS [10.23 vs. 3.70 months, hazard ratio (HR): 1.79, 95% confidence interval (CI) 1.02-3.13, p = 0.041] and median TTF (2.27 vs. 1.78 months, HR: 1.78, 95%CI 1.02-3.09, p = 0.042) were significantly longer in the Normal-ALBI group than High-ALBI group. On Cox proportional hazard analysis, ALBI score was significantly correlated with OS. The incidence of liver dysfunction (grade ≥ 2) was significantly higher in the High-ALBI than the Normal-ALBI group (42.9% vs. 15.6%, p = 0.041), whereas other AEs were comparable between the two groups.

conclusionALBI was strongly associated with the prognosis of patients with mCRC treated with regorafenib and with the occurrence of liver-related adverse events. These findings may imply that patients with a high ALBI score should not be treated with regorafenib.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsAlbuminsBilirubinHumansPhenylurea CompoundsPrognosisPyridinesRetrospective StudiesAlbuminsBilirubinPhenylurea CompoundsPyridinesregorafenibAlbumin–bilirubin scoreMetastatic colorectal cancerOverall survivalRegorafenibTumor response

Identifiers

PMID33839963
OpenAlexW3152809251

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.