Evidence map›Paper›PMID 34408469›Full record

ArticleJournal of inflammation research2021

Comparison of the Prognostic Value of Inflammation-Based Scores in Patients with Hepatocellular Carcinoma After Anti-PD-1 Therapy.

Jie Mei, Xu-Qi Sun, Wen-Ping Lin, Shao-Hua Li, Liang-He Lu, Jing-Wen Zou, Wei Wei, Rong-Ping Guo

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Article in Journal of inflammation research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 7 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

40 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  11. Clinical predictive factors of the efficacy of immune checkpoint inhibitors and kinase inhibitors in advanced hepatocellular cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Jie Mei *Department of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.ORCID 0000-0002-5676-4216
Xu-Qi Sun *Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Wen-Ping Lin *Department of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Shao-Hua LiDepartment of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Liang-He LuDepartment of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Jing-Wen ZouDepartment of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Wei WeiDepartment of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.
Rong-Ping GuoDepartment of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China.ORCID 0000-0003-2799-3463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInflammatory response is related to cancer progression and patient survival. However, the value in predicting survival in hepatocellular carcinoma (HCC) patients who received anti-PD-1 therapy has not been elucidated. This study aimed to compare the predictive ability of inflammation-based scores for the prognosis of HCC patients after anti-PD-1 therapy.

methodsA total of 442 patients who received anti-PD-1 therapy were included in the study. Representative inflammation-based prognostic scores, including the platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-C-reactive protein (CRP) ratio (LCR), lymphocyte-to-monocyte ratio (LMR), systemic immune inflammation index (SII), CRP-to-albumin ratio (CAR), prognostic nutritional index (PNI), Glasgow Prognostic Score (GPS), modified Glasgow Prognostic Score (mGPS), and prognostic index (PI), were assessed for prediction accuracy using Kaplan-Meier survival curves, time-dependent receiver operating characteristic (ROC) and Harrell's concordance index (C-index) analyses.

resultsAll the inflammation-based prognostic scores exhibited good discriminatory ability in overall survival (OS) (all P < 0.01), while the PNI score was a unique independent predictor for OS in multivariate analysis (hazard ratio, 1.770; confidence interval, 1.309-2.393; P < 0.001). The areas under the ROC curves at 6, 12, 18 and 24 months and the C-index (0.65) demonstrated that the predictive accuracy of the PNI score was superior to that of the other inflammation-based scores.

conclusionThe PNI score is a discriminatory prognostic indicator for OS in HCC patients with anti-PD-1 therapy and is superior to the other inflammation-based prognostic scores in terms of predictive ability.

Indexed as

anti-PD-1 therapyhepatocellular carcinomainflammation-based scoreoverall survivalprognostic nutritional index

Identifiers

PMID34408469
PMCPMC8364914

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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.