Evidence map›Paper›PMID 34590009›Full record

ArticleJTO clinical and research reports2021

Ki67 (MIB-1) as a Prognostic Marker for Clinical Decision Making Before Extended Pleurectomy Decortication in Malignant Pleural Mesothelioma.

Robert A Belderbos, Alexander P W M Maat, Sara J Baart, Eva V E Madsen, Ad J J C Bogers, Robin Cornelissen, Joachim G J V Aerts, Edris A F Mahtab, Jan H von der Thüsen

Abstract read
In one paragraph

Article in JTO clinical and research reports, 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
–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

9 citing papers in PubMed.

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  8. Malignant Pleural Mesothelioma-Does Ki67 Make the Grade?JTO clinical and research reports · 2021
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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

9 authors.

Robert A BelderbosDepartment of Pulmonary Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
Alexander P W M MaatDepartment of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, the Netherlands.
Sara J BaartDepartment of Biostatistics, Erasmus Medical Center, Rotterdam, the Netherlands.
Eva V E MadsenDepartment of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, the Netherlands.
Ad J J C BogersDepartment of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, the Netherlands.
Robin CornelissenDepartment of Pulmonary Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
Joachim G J V AertsDepartment of Pulmonary Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
Edris A F MahtabDepartment of Cardiothoracic Surgery, Erasmus Medical Center, Rotterdam, the Netherlands.
Jan H von der ThüsenDepartment of Pathology, Erasmus Medical Center, Rotterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe role of surgery for early stage malignant pleural mesothelioma (MPM) remains controversial. Current expert opinion is only to treat patients surgically as part of multimodality therapy. It is still challenging to identify patients who will not benefit from surgery. We specifically evaluated tumor-related parameters in combination with clinical parameters to identify prognostic markers for survival.

methodsClinical data of 27 consecutive patients with MPM treated with extended pleurectomy and decortication within a multimodality approach were collected and analyzed. Several tumor (immuno-)histopathologic characteristics were determined on resected tumor material, among which MTAP and Ki67 (MIB-1). Univariable and multivariable analyses served to correlate clinical and tumor-related parameters to overall survival (OS) and progression-free survival (PFS).

resultsThe median PFS (mPFS) was 15.3, and the median OS (mOS) was 26.5 months. Patients with a Ki67 score greater than 10% had a significantly shorter PFS (mPFS = 8.81 versus 25.35 mo,

conclusionsIn our study, Ki67 was prognostic for OS and PFS in patients with MPM treated with extended pleurectomy/decortication in a multimodality approach. Determination of Ki67 before surgery combined with specific clinical parameters could assist in clinical decision making by identifying patients, with high Ki67, who are unlikely to benefit from surgery.

Indexed as

Extended pleurectomy decorticationki-67Malignant pleural mesotheliomaMTAPPrognostic marker

Identifiers

PMID34590009
PMCPMC8474452

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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.