Evidence map›Paper›PMID 36078877›Full record

ArticleJournal of clinical medicine2022

Histopathological and Haemogram Features Correlate with Prognosis in Rectal Cancer Patients Receiving Neoadjuvant Chemoradiation without Pathological Complete Response.

Yu-Ming Huang, Hsi-Hsien Hsu, Chien-Kuo Liu, Ching-Kuo Yang, Po-Li Tsai, Tzu-Yin Tang, Shih-Ming Hsu, Yu-Jen Chen

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
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

8 authors at 3 institutions in 1 country.

Yu-Ming HuangDepartment of Radiation Oncology, Taipei Hospital, Ministry of Health and Welfare, New Taipei City 242, Taiwan.
Hsi-Hsien HsuDepartment of Medicine, MacKay Medical College, New Taipei City 252, Taiwan.
Chien-Kuo LiuDepartment of Medicine, MacKay Medical College, New Taipei City 252, Taiwan.
Ching-Kuo YangDepartment of Medicine, MacKay Medical College, New Taipei City 252, Taiwan.
Po-Li TsaiDepartment of Medicine, MacKay Medical College, New Taipei City 252, Taiwan.
Tzu-Yin TangDepartment of Medicine, MacKay Medical College, New Taipei City 252, Taiwan.
Shih-Ming HsuDepartment of Biomedical Imaging and Radiological Sciences, National Yang Ming Chiao Tung University, Taipei 112, Taiwan.
Yu-Jen ChenDepartment of Medicine, MacKay Medical College, New Taipei City 252, Taiwan.ORCID 0000-0001-9794-8938
Mackay Memorial Hospital · TWNational Yang Ming Chiao Tung University · TWChina Medical University · TW

Funding

Mackay Memorial Hospital MMH-E-111-11Mackay Memorial Hospital TTMMH-107-03Mackay Memorial Hospital TTMMH-108-03Ministry of Science and Technology MOST 109-2314-B-195-003-MY3
6 · The paper itself

Abstract

backgroundNeoadjuvant chemoradiation therapy (NCRT) followed by surgery is the standard treatment for locally advanced rectal cancer (LARC); approximately 80% of patients do not achieve complete response. Identifying prognostic factors predictive of survival in these patients to guide further management is needed. The intratumoural lymphocytic response (ILR), peritumoural lymphocytic reaction (PLR), neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PtLR) are correlated with the tumour microenvironment and cancer-related systemic inflammation. This study aimed to explore the ability of the ILR, PLR, NLR, and PtLR to predict survival in LARC patients without a complete response to NCRT.

methodsSixty-nine patients who underwent NCRT and surgery were retrospectively reviewed. The ILR and PLR were assessed in surgical specimens, and the NLR and PtLR were calculated using pre- and post-NCRT blood count data. The Kaplan-Meier method and Cox regression analyses were performed for survival analysis.

resultsA high PLR and high post-NCRT NLR and PtLR were significantly associated with better prognosis. Lymphovascular invasion (LVI), post-NCRT neutrophil count, and lymphocyte count were significant predictors of overall survival. LVI and the PLR were independent predictors of disease-free survival.

conclusionsNCRT-induced local and systemic immune responses are favourable prognostic predictors in LARC patients without complete response to NCRT.

Indexed as

intratumoural and peritumoural lymphocytic responselocally advanced rectal cancerneoadjuvant chemoradiation therapysystemic inflammationtumour microenvironment

Identifiers

PMID36078877
PMCPMC9456328
OpenAlexW4292878041

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.