Evidence map›Paper›PMID 35884914›Full record

ArticleBiomedicines2022

The Impact of Neutrophil-to-Lymphocyte Ratio after Two Courses of Pembrolizumab for Oncological Outcomes in Patients with Metastatic Urothelial Carcinoma.

Risa Tomioka-Inagawa, Keita Nakane, Torai Enomoto, Masayuki Tomioka, Tomoki Taniguchi, Takashi Ishida, Kaori Ozawa, Kimiaki Takagi, Hiroki Ito, Shinichi Takeuchi and 8 more

Abstract read
In one paragraph

Article in Biomedicines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

10 citing papers in PubMed.

  1. Article
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  5. Review
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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

18 authors.

Risa Tomioka-InagawaDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Keita NakaneDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Torai EnomotoDepartment of Urology, Matsunami General Hospital, Hashima-gun 5016062, Japan.
Masayuki TomiokaDepartment of Urology, Japanese Red Cross Takayama Hospital, Takayama 5068550, Japan.
Tomoki TaniguchiDepartment of Urology, Chuno Kosei Hospital, Seki 5013802, Japan.ORCID 0000-0002-2612-2191
Takashi IshidaDepartment of Urology, Gifu Municipal Hospital, Gifu 5008513, Japan.
Kaori OzawaDepartment of Urology, Ogaki Municipal Hospital, Ogaki 5038502, Japan.
Kimiaki TakagiDepartment of Urology, Daiyukai Daiichi Hospital, Ichinomiya 4918551, Japan.ORCID 0000-0003-2774-925X
Hiroki ItoDepartment of Urology, Toyota Memorial Hospital, Toyota 4718513, Japan.
Shinichi TakeuchiDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Makoto KawaseDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Kota KawaseDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Daiki KatoDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.ORCID 0000-0003-4932-0497
Manabu TakaiDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Koji IinumaDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.
Shigeaki YokoiDepartment of Urology, Central Japan International Medical Center, Minokamo 5058510, Japan.
Masahiro NakanoDepartment of Urology, Gifu Prefectural General Medical Center, Gifu 5008717, Japan.
Takuya KoieDepartment of Urology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.ORCID 0000-0002-2980-127X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We focused on the therapeutic effect of pembrolizumab for metastatic urothelial carcinoma (mUC) and evaluated predictive factors for improving clinical outcomes. We conducted a retrospective multicenter cohort study of patients with mUC who received pembrolizumab. The endpoint was to evaluate the association between clinicopathological features and oncological outcomes. A total of 160 patients were enrolled in this study and were divided into two groups: the responder and the non-responder group, according to the best response. They were followed up for a median period of 10 months. The median overall (OS) and progression-free survival (PFS) in this study were 17 and 4 months, respectively. The responder group did not achieve median OS and it was 10 months in the non-responder group (p < 0.001). Similarly, the responder group did not achieve PFS, and it was 2 months in the non-responder group (p < 0.001). Regarding the neutrophil-to-lymphocyte ratio (NLR) after two courses of administration of pembrolizumab, patients with NLR < 3.24 had significantly better oncological outcomes than those with NLR ≥ 3.24. Multivariate analysis showed a significant association between NLR after two courses of pembrolizumab and OS. Therefore, the absolute value of NLR after two courses of pembrolizumab was a significant predictive factor for oncological outcomes.

Indexed as

metastatic urothelial carcinomamulticenter cohort studyneutrophil-to-lymphocyte ratiooncological outcomespembrolizumab

Identifiers

PMID35884914
PMCPMC9313086

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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.