Evidence map›Paper›PMID 33901218›Full record

SynthesisPloS one2021

Prognostic and clinicopathological significance of C-reactive protein/albumin ratio (CAR) in patients with gastric cancer: A meta-analysis.

Junhua Yu, Huiling Liu, Xueyun Zeng, Yujun Zhao, Dejun Jiang, Hang Lu, Jun Qian

RetractedAbstract readMeta-AnalysisSystematic ReviewRetracted Publication
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Junhua YuDepartment of General Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Huiling LiuDepartment of Pharmacy, Zhejiang Quhua Hospital, Quzhou, Zhejiang, China.
Xueyun ZengDepartment of General Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Yujun ZhaoDepartment of General Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Dejun JiangDepartment of General Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Hang LuDepartment of General Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, People's Hospital of Quzhou, Quzhou, Zhejiang, China.
Jun QianDepartment of General Surgery, The Quzhou Affiliated Hospital of Wenzhou Medical University, People's Hospital of Quzhou, Quzhou, Zhejiang, China.ORCID 0000-0002-1821-8580

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, many studies have explored the potential prognostic utility of C-reactive protein/albumin ratio (CAR) in patients with gastric cancer (GC), however, the results remain conflicting. We thus performed a meta-analysis to determine the association of CAR and prognosis of GC.

methodsThis meta-analysis was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. PubMed, Web of science, Embase, and Cochrane Library were searched. Hazard ratios (HRs) and 95% confidence intervals (CIs) for overall survival (OS) and cancer-specific survival (CSS) of included studies were pooled to estimate the prognostic value of CAR.

resultsEight studies with a total of 3,216 patients were included in this meta-analysis. High CAR was significantly associated with poor OS (HR = 1.59, 95%CI = 1.36-1.85, p<0.001) and worse CSS (HR = 1.65, 95%CI = 1.21-2.25, p = 0.002). In addition, high CAR was significantly associated with male sex (OR = 1.80, 95%CI = 1.31-2.47, p<0.001), advanced tumor stage (OR = 2.14, 95%CI = 1.48-3.09, p<0.001), and tumor size ≥3cm (OR = 2.69, 95%CI = 1.84-3.93, p<0.001).

conclusionElevated pretreatment CAR is a prognostic marker of poor OS and CSS in patients with GC. Furthermore, high CAR levels are associated with clinicopathological features reflecting tumor progression.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorChinaC-Reactive ProteinFemaleHumansJapanMaleMiddle AgedNeoplasm StagingPrognosisRisk FactorsSerum AlbuminSex FactorsBiomarkers, TumorC-Reactive ProteinSerum Albumin

Identifiers

PMID33901218
PMCPMC8075248

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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.