Evidence map›Paper›PMID 35873145›Full record

ArticleFrontiers in cellular and infection microbiology2022

A Novel Prognostic Score Including the CD4/CD8 for AIDS-Related Lymphoma.

Juanjuan Chen, Xuewu Liu, Shanfang Qin, Guangjing Ruan, Aili Lu, Jinxin Zhang, Yihua Wu, Zhiman Xie, Jie Peng

Abstract readMulticenter Study
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

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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

8 citing papers in PubMed.

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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

9 authors.

Juanjuan ChenDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xuewu LiuDepartment of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shanfang QinGuangxi AIDS Diagnosis and Treatment Quality Control Center, Longtan Hospital of Guangxi Zhuang Autonomous Region, Liuzhou, China.
Guangjing RuanGuangxi AIDS Clinical Treatment Center, The Fourth People's Hospital of Nanning, Nanning, China.
Aili LuDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jinxin ZhangDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yihua WuDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhiman XieGuangxi AIDS Clinical Treatment Center, The Fourth People's Hospital of Nanning, Nanning, China.
Jie PengDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A simple and clinically applicable prognostic scoring system for AIDS-related lymphoma (ARL) in the era of combination antiretroviral therapy (cART) is needed to better stratify patients' risks and to assist in the decision-making of therapeutic strategies. Methods: We conducted a retrospective multicenter cohort study in 138 primary ARL patients over an 8-year period from 2013 to 2020. Survival curves were estimated using the Kaplan-Meier method. Univariate and multivariate Cox proportional hazard models were performed to identify the association between patient-, lymphoma-, and HIV-specific variables with progression-free survival (PFS) and overall survival (OS). The incremental prognostic value of novel inflammatory biomarkers in the International Prognostic Index (IPI) was evaluated by comparing the receiver operating characteristic (ROC) curves, the concordance index (C-index), and the integrated Brier score (IBS). Results: The median age was 49.14 ± 14.20 (range 18-79) years, 81.9% were men, and the median follow-up was 44.94 (95% CI = 37.05-52.84) months. The 3-year OS and PFS were 39.4% (95% CI = 16.3-21.2) and 38.7% (95% CI = 14.5-19.7), respectively. We found that age, extranodal sites, bulky mass, CD4 T-cell counts, CD4/CD8 ratio, and hypoalbuminemia were associated with OS (all Conclusions: The CD4/CD8 ratio, an inexpensive and readily available marker, is a powerful independent prognostic parameter in patients with ARL. Furthermore, when the CD4/CD8 ratio is used in combination with IPI, it increases prognostic ability. The useful prediction of expected outcomes in ARL can inform treatment decisions.

Indexed as

HIV InfectionsLymphoma, AIDS-RelatedCD4 Lymphocyte CountCD8-Positive T-LymphocytesChildChild, PreschoolCohort StudiesFemaleHumansInfantMalePrognosisRetrospective StudiesAIDS-related lymphomasCD4/CD8 ratioindependent prognostic parameterinflammatory markernovel prognostic score

Identifiers

PMID35873145
PMCPMC9299417

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