Evidence map›Paper›PMID 34958005›Full record

ArticleCancer biomarkers : section A of Disease markers2022

The association between albumin-globulin ratio (AGR) and survival in patients treated with immune checkpoint inhibitors.

Deniz Can Guven, Oktay Halit Aktepe, Melek Seren Aksun, Taha Koray Sahin, Gozde Kavgaci, Enes Ucgul, Ibrahim Yahya Cakir, Hasan Cagri Yildirim, Gurkan Guner, Serkan Akin and 6 more

Abstract read
In one paragraph

Article in Cancer biomarkers : section A of Disease markers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

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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

16 authors.

Deniz Can GuvenHacettepe University Cancer Institute, Ankara, Turkey.
Oktay Halit AktepeHacettepe University Cancer Institute, Ankara, Turkey.
Melek Seren AksunDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Taha Koray SahinDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Gozde KavgaciDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Enes UcgulDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Ibrahim Yahya CakirDepartment of Internal Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Hasan Cagri YildirimHacettepe University Cancer Institute, Ankara, Turkey.
Gurkan GunerHacettepe University Cancer Institute, Ankara, Turkey.
Serkan AkinHacettepe University Cancer Institute, Ankara, Turkey.
Neyran KertmenHacettepe University Cancer Institute, Ankara, Turkey.
Omer DizdarHacettepe University Cancer Institute, Ankara, Turkey.
Sercan AksoyHacettepe University Cancer Institute, Ankara, Turkey.
Mustafa ErmanHacettepe University Cancer Institute, Ankara, Turkey.
Suayib YalcinHacettepe University Cancer Institute, Ankara, Turkey.
Saadettin KilickapHacettepe University Cancer Institute, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe albumin-globulin ratio (AGR) could be a prognostic biomarker in patients with cancer, although the data is limited in patients treated with immune-checkpoint inhibitors (ICIs).

objectivesWe aimed to evaluate the association between AGR and survival in ICI-treated patients.

methodsThe data of 212 advanced-stage patients were retrospectively evaluated in this cohort study. The association between AGR with overall (OS) and progression-free survival (PFS) were evaluated with multivariate analyses. Additionally, receptor operating curve (ROC) analysis was conducted to assess the AGR's predictive power in the very early progression (progression within two months) and long-term benefit (more than twelve months survival).

resultsThe median AGR was calculated as 1.21, and patients were classified into AGR-low and high subgroups according to the median. In the multivariate analyses, patients with lower AGR (< 1.21) had decreased OS (HR: 1.530, 95% CI: 1.100-2.127, p= 0.011) and PFS (HR: 1.390, 95% CI: 1.020-1.895, p= 0.037). The area under curve of AGR to detect early progression and long-term benefit were 0.654 (95% CI: 0.562-0.747, p= 0.001) and 0.671 (95% CI: 0.598-0.744, p< 0.001), respectively.

conclusionsIn our experience, survival with ICIs was impaired in patients with lower AGR. Additionally, the AGR values could detect the very early progression and long-term benefit ICIs.

Indexed as

GlobulinsImmune Checkpoint InhibitorsCohort StudiesHumansPrognosisRetrospective StudiesSerum AlbuminGlobulinsImmune Checkpoint InhibitorsSerum Albuminalbumin-globulin ratiobiomarkerImmune checkpoint inhibitorimmunotherapy

Identifiers

PMID34958005
PMCPMC12364281

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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.