Evidence map›Paper›PMID 35766701›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2022

C-reactive protein to lymphocyte count ratio is a promising novel marker in hepatitis C infection: the clear hep-c study.

Muhammed Emin Demirkol, Gulali Aktas, Satilmiş Bilgin, Gizem Kahveci, Ozge Kurtkulagi, Burcin Meryem Atak, Tuba Taslamacioglu Duman

Open access · diamondAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 38 citations in OpenAlex.

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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 at 1 institution in 1 country.

Muhammed Emin DemirkolAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0001-6262-6103
Gulali AktasAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0001-7306-5233
Satilmiş BilginAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0003-2811-0052
Gizem KahveciAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0003-4520-4085
Ozge KurtkulagiAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0002-4162-5563
Burcin Meryem AtakAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0003-4201-9757
Tuba Taslamacioglu DumanAbant Izzet Baysal University Hospital, Department of Internal Medicine - Bolu, Turkey.ORCID http://orcid.org/0000-0002-3836-2125
Bolu Abant İzzet Baysal University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic hepatitis C (CHC) is one of the most important health problems affecting the significant rate of world population and it may lead to cirrhosis and hepatocellular carcinoma. C-reactive protein to lymphocyte count ratio (CLR) is used in estimating inflammatory burden. Therefore, this study aimed to compare CLR values between CHC patients and healthy controls and between CHC patients with and without fibrosis.

methodsPatients with CHC infection who visited outpatient and inpatient internal medicine clinics of our institution between January 2021 and December 2021 were enrolled to this retrospective study. CLR of the patients with CHC and healthy controls were compared. We further compared CLR of CHC patients with and without fibrosis.

resultsMedian CLR of CHC and control subjects was 2.61 (5.13%) and 0.31 (0.37%), respectively. CLR of the CHC group was significantly increased compared to the CLR of the controls (p<0.001). There was a significant positive correlation between CLR and APRI score (r=0.15, p=0.04). The sensitivity and specificity of CLR in determining CHC above 0.58% level were 84% and 82%, respectively (AUC: 0.884, p<0.001, 95%CI 0.84-0.93). In subgroup analysis, CLR was 3.97 (6.6%) for CHC patients with fibrosis and 1.7 (4.4%) for CHC subjects without fibrosis (p=0.001).

conclusionIncreased CLR in patients with CHC may be an alarming finding of liver fibrosis, as CLR is associated with both CHC and hepatic fibrosis.

Indexed as

Hepatitis C, ChronicLiver NeoplasmsBiomarkersC-Reactive ProteinHumansLiver CirrhosisLymphocyte CountRetrospective StudiesBiomarkersC-Reactive Protein

Identifiers

PMID35766701
PMCPMC9575902
OpenAlexW4283710911

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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.