Evidence map›Paper›PMID 34124248›Full record

ArticleBioMed research international2021

Score for Predicting Active Cancer in Patients with Ischemic Stroke: A Retrospective Study.

Jiwei Jiang, Xiuli Shang, Jinming Zhao, Meihui Cao, Jirui Wang, Runzhi Li, Yanli Wang, Jun Xu

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Jiwei JiangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-5775-2754
Xiuli ShangDepartment of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China.ORCID https://orcid.org/0000-0002-7555-1638
Jinming ZhaoDepartment of Pathology, The First Affiliated Hospital and College of Basic Medical Sciences, China Medical University, China.
Meihui CaoDepartment of Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, China.
Jirui WangDepartment of Neurology, The First Affiliated Hospital, China Medical University, Shenyang, China.
Runzhi LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-0117-4195
Yanli WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0002-7958-5739
Jun XuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-7432-6781
Capital Medical University · CNFirst Hospital of China Medical University · CNChina Medical University · CNLiaoning Cancer Hospital & Institute · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to examine the differences of clinical characteristics between patients with ischemic stroke with active cancer and those without cancer to develop a clinical score for predicting the presence of occult cancer in patients with ischemic stroke.

methodsThis retrospective study enrolled consecutive adult patients with acute ischemic stroke who were admitted to our department between December 2017 and January 2019. The demographic, clinical, laboratory, and neuroimaging characteristics were compared between patients with ischemic stroke with active cancer and those without cancer. Multivariate analysis was performed to identify independent factors associated with active cancer. Subsequently, a predictive score was developed using the areas under the receiver operating characteristic curves based on these independent factors. Finally, Bayesian decision theory was applied to calculate the posterior probability of active cancer for finding the best scoring system.

resultsFifty-three (6.63%) of 799 patients with ischemic stroke had active cancer. The absence of a history of hyperlipidemia (odds ratio (OR) = 0.17, 95% confidence interval (CI): 0.06-0.48,

conclusionsWe devised a clinical score to predict active cancer in patients with ischemic stroke based on the absence of a history of hyperlipidemia and elevated serum D-dimer and fibrinogen levels. The use of this score may allow for early intervention. Further research is needed to confirm the implementation of this score in clinical settings.

Indexed as

Ischemic StrokeNeoplasmsAgedBiomarkers, TumorFemaleFibrin Fibrinogen Degradation ProductsHumansMaleMiddle AgedRetrospective StudiesBiomarkers, TumorFibrin Fibrinogen Degradation Productsfibrin fragment D

Identifiers

PMID34124248
PMCPMC8169246
OpenAlexW3164188949

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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.