Evidence map›Paper›PMID 33939332›Full record

ArticleThoracic cancer2021

Glasgow prognostic score for prediction of chemotherapy-triggered acute exacerbation interstitial lung disease in patients with small cell lung cancer.

Ryota Kikuchi, Hiroyuki Takoi, Takao Tsuji, Yoko Nagatomo, Akane Tanaka, Hayato Kinoshita, Mariko Ono, Mayuko Ishiwari, Kazutoshi Toriyama, Yuta Kono and 4 more

Open access · goldAbstract read
In one paragraph

Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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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

14 authors at 2 institutions in 1 country.

Ryota KikuchiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.ORCID 0000-0002-0854-3494
Hiroyuki TakoiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Takao TsujiRespiratory Center, Otsuki Municipal Central Hospital, Otsuki-shi, Japan.
Yoko NagatomoDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Akane TanakaDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Hayato KinoshitaDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Mariko OnoDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Mayuko IshiwariDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Kazutoshi ToriyamaDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Yuta KonoDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Yuki TogashiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Kazuhiro YamaguchiDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Akinobu YoshimuraDepartment of Clinical Oncology, Tokyo Medical University Hospital, Tokyo, Japan.
Shinji AbeDepartment of Respiratory Medicine, Tokyo Medical University Hospital, Tokyo, Japan.
Tokyo Medical University Hospital · JPOtsu Municipal Hospital · JP

Funding

Grant-in-Aid for Scientific Research from the Ministry of Education and Science, Japan 40750857
6 · The paper itself

Abstract

backgroundPredicting the incidence of chemotherapy-triggered acute exacerbation of interstitial lung disease (AE-ILD) in patients with lung cancer is important because AE-ILD confers a poor prognosis. The Glasgow prognostic score (GPS), which is an inflammation-based index composed of serum levels of C-reactive protein and albumin, predicts prognosis in patients with small cell lung cancer (SCLC) without ILD. In this study, we investigated AE-ILD and survival outcome based on the GPS in patients with ILD associated with SCLC who were receiving chemotherapy.

methodsMedical records of patients who received platinum-based first-line chemotherapy between June 2010 and May 2019 were retrospectively reviewed to compare the incidence of AE-ILD and overall survival (OS) between GPS 0, 1, and 2.

resultsAmong our cohort of 31 patients, six (19.3%) experienced chemotherapy-triggered AE-ILD. The AE-ILD incidence increased from 9.5% to 25.0% and 50.0% with increase in GPS of 0, 1, and 2, respectively. Univariate and multivariate analyses revealed remarkable associations between GPS 2 and both AE-ILD (odds ratio for GPS 2, 18.69; p = 0.046) and prognosis (hazard ratio of GPS 2, 13.52; p = 0.002). Furthermore, median OS in the GPS 0, 1, and 2 groups was 16.2, 9.8, and 7.1 months, respectively (p < 0.001).

conclusionsOur results suggest that GPS 2 is both a predictor of risk of chemotherapy-triggered AE-ILD and a prognostic indicator in patients with ILD associated with SCLC. We propose that GPS may be used as a guide to distinguish chemotherapy-tolerant patients from those at high risk of AE-ILD.

Indexed as

Acute DiseaseAgedFemaleGlasgow Outcome ScaleHumansLung Diseases, InterstitialLung NeoplasmsMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSmall Cell Lung Carcinomaacute exacerbationGlasgow prognostic scoreinterstitial lung diseaseprognosissmall cell lung cancer

Identifiers

PMID33939332
PMCPMC8169307
OpenAlexW3122805636

What OpenQuestion holds

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LicenceCC BY
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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.