Evidence map›Paper›PMID 34729964›Full record

ArticleInvestigative and clinical urology2021

Prognostic value of preoperative neutrophil-to-lymphocyte ratio in histological variants of non-muscle-invasive bladder cancer.

Deng-Xiong Li, Xiao-Ming Wang, Yin Tang, Yu-Bo Yang, De-Chao Feng, Ao Li, Fa-Cai Zhang, Yun-Jin Bai, Ping Han

Abstract read
In one paragraph

Article in Investigative and clinical urology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
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  7. Microbiota and urinary tumor immunity: Mechanisms, therapeutic implications, and future perspectives.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2024
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  17. Round up.Indian journal of urology : IJU : journal of the Urological Society of India
    Article
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.

Deng-Xiong Li *Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-1943-6758
Xiao-Ming Wang *Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-2288-4201
Yin TangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-9600-955X
Yu-Bo YangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-0189-3256
De-Chao FengDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-8267-9920
Ao LiDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-7983-7062
Fa-Cai ZhangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0002-2562-4915
Yun-Jin BaiDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.ORCID 0000-0001-6005-6725
Ping HanDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China. hanpingwch@163.com.ORCID 0000-0002-9710-0037

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMany studies identified that the preoperative neutrophil-to-lymphocyte ratio (PNLR) was associated with patient prognosis in non-muscle-invasive bladder cancer (NMIBC). We hypothesized that PNLR could be prognostic in patients with histological variants of NMIBC (VH-NMIBC). MATERIALS AND

methodsThis retrospective study included patients with VH-NMIBC admitted at our center between January 2009 and May 2019. The best cut-off value of NLR was measured by the receiver operating characteristic curve and Youden index. The Kaplan-Meier method and Cox proportional hazard regression models were employed to evaluate the association between PNLR and disease prognosis, including recurrence-free survival (RFS), progression-free survival (PFS), cancer-specific survival (CSS), and overall survival (OS).

resultsA total of 243 patients with VH-NMIBC were enrolled in our study. According to the Kaplan-Meier method results, patients with PNLR ≥2.2 were associated with poor RFS (p<0.001), PFS (p<0.001), CSS (p<0.001), and OS (p<0.001). Multivariable analyses indicated that PNLR ≥ 2.2 was an independent prognostic factor of RFS (hazard ratio [HR], 2.11; 95% confidence interval [CI, 1.57-1.83; p<0.001), PFS (HR, 2.34; 95% CI, 1.70-3.21; p<0.001), CCS (HR, 2.87; 95% CI, 1.96-4.18; p< 0.001), and OS (HR, 2.83; 95% CI, 1.96-4.07; p<0.001).

conclusionsThis study identified that PNLR ≥2.2 was usually associated with a poor prognosis for patients with VH-NMIBC.

Indexed as

CystectomyLymphocyte CountUrinary Bladder NeoplasmsFemaleHumansKaplan-Meier EstimateLymphocytesMaleMiddle AgedNeoplasm InvasivenessNeutrophilsPredictive Value of TestsPreoperative CarePrognosisProportional Hazards ModelsBladder cancerHistologyLymphocyteNeutrophilPrognosis

Identifiers

PMID34729964
PMCPMC8566785

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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.