Evidence map›Paper›PMID 35609265›Full record

Trial reportCancer control : journal of the Moffitt Cancer Center

Development and Validation of a Novel Nomogram for Predicting Vessels that Encapsulate Tumor Cluster in Hepatocellular Carcinoma.

Renguo Guan, Wenping Lin, Jingwen Zou, Jie Mei, Yuhua Wen, Lianghe Lu, Rongping Guo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines 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

7 authors.

Renguo GuanDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0002-9487-7369
Wenping LinDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.
Jingwen ZouDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.
Jie MeiDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.
Yuhua WenDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.
Lianghe LuDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.
Rongping GuoDepartment of Liver Surgery, 71067Sun Yat-sen University Cancer Center, Guangzhou, China.ORCID https://orcid.org/0000-0003-2799-3463

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVessels that encapsulate tumor cluster (VETC) is associated with poor prognosis in hepatocellular carcinoma (HCC). Vessels that encapsulate tumor cluster estimation before initial treatment is helpful for clinical doctors. We aimed to construct a novel predictive model for VETC, using preoperatively accessible clinical parameters and imagine features.

methodsTotally, 365 HCC patients who received curative hepatectomy in the Sun Yat-Sen University Cancer Center from 2013 to 2014 were enrolled in this study. Vessels that encapsulate tumor cluster pattern was confirmed by immunochemistry staining. 243 were randomly assigned to the training cohort while the rest was assigned to the validation cohort. Independent predictive factors for VETC estimation were determined by univariate and multivariate logistic analysis. We further constructed a predictive nomogram for VETC in HCC. The performance of the nomogram was evaluated by C-index, receiver operating characteristic (ROC) curve, and calibration curve. Besides, the decision curve was plotted to evaluate the clinical usefulness. Ultimately, Kaplan-Meier survival curves were utilized to confirm the association between the nomogram and survival.

resultsImmunochemistry staining revealed VETC in 87 patients (23.8%). lymphocyte to monocyte ratio (>7.75, OR = 4.06), neutrophil (>7, OR = 4.48), AST to ALT ratio (AAR > .86, OR = 2.16), ALT to lymphocyte ratio index (BLRI > 21.73, OR = 2.57), alpha-fetoprotein (OR = 1.1), and tumor diameter (OR = 2.65) were independent predictive factors. The nomogram incorporating these predictive factors performed well with an area under the curve (AUC) of .746 and .707 in training and validation cohorts, respectively. Calibration curves indicated the predicted probabilities closely corresponded with the actual VETC status. Moreover, the decision curve proved our nomogram could provide clinical benefits with patients. Finally, low probability of VETC group had significantly longer recurrence free survival (RFS) and overall survival (OS) than the high probability of the VETC group (all

conclusionA novel predictive nomogram integrating clinical indicators and image characteristics shows strong predictive VETC performance and might provide standardized net clinical benefits.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsHepatectomyHumansNomogramsPrognosisRetrospective Studiesearly diagnosishepatocellular carcinomanomogrampreoperative predictionvessels that encapsulate tumor cluster

Identifiers

PMID35609265
PMCPMC9136459

What OpenQuestion holds

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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.