Evidence map›Paper›PMID 35599583›Full record

ArticleCancer medicine2022

Splenomegaly in predicting the survival of patients with advanced primary liver cancer treated with immune checkpoint inhibitors.

Lu-Shan Xiao, Cheng-Yi Hu, Hao Cui, Rui-Ning Li, Chang Hong, Qi-Mei Li, Chao-Yi Huang, Zhong-Yi Dong, Hong-Bo Zhu, Li Liu

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  16. Preoperative splenic area as a prognostic biomarker of early-stage non-small cell lung cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2023
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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

10 authors at 2 institutions in 1 country.

Lu-Shan XiaoBig Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Cheng-Yi HuBig Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hao CuiDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Rui-Ning LiDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Chang HongDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qi-Mei LiDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Chao-Yi HuangDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhong-Yi DongDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0001-9967-0060
Hong-Bo ZhuDepartment of Oncology, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, China.
Li LiuBig Data Center, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0002-5265-4159
Nanfang Hospital · CNUniversity of South China · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsImmune checkpoint inhibitors (ICIs) play an increasingly important role in the treatment of primary liver cancer (PLC). Some patients with PLC experience symptoms of splenomegaly. Splenomegaly may affect the efficacy of ICIs due to an imbalance of the immune microenvironment. Currently, there is a lack of evidence on the relationship between splenomegaly and prognosis in patients with PLC treated with ICIs. This study analyzed the relationship between splenomegaly and prognosis in patients with PLC treated with ICIs.

methodsIn this retrospective cohort study of 161 patients with PLC treated with ICIs, splenomegaly was diagnosed using computed tomography or magnetic resonance imaging and the impact of splenomegaly on patient survival was analyzed.

resultsThrough univariate and multivariate Cox regression analyses, we determined that splenomegaly was associated with shortened overall survival (p = 0.002) and progression-free survival (p = 0.013) in patients with PLC treated with ICIs. Kaplan-Meier analysis further validated our results. The overall survival and progression-free survival of patients with splenomegaly were significantly shorter than those of patients without splenomegaly (p < 0.01 and p = 0.02, respectively).

conclusionsWe concluded that splenomegaly was a predictor of prognosis in patients with PLC treated with ICIs. This is the first study to report this important finding.

Indexed as

Liver NeoplasmsLung NeoplasmsHumansImmune Checkpoint InhibitorsPrognosisRetrospective StudiesSplenomegalyTumor MicroenvironmentImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsimmune therapyprimary liver cancerprognosissplenomegaly

Identifiers

PMID35599583
PMCPMC9761067
OpenAlexW4281294473

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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.