Evidence map›Paper›PMID 36717809›Full record

SynthesisBMC cancer2023

The prognostic value of the advanced lung cancer inflammation index in patients with gastrointestinal malignancy.

Lilong Zhang, Kailiang Zhao, Tianrui Kuang, Kunpeng Wang, Dongqi Chai, Zhendong Qiu, Rongqiang Liu, Wenhong Deng, Weixing Wang

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Neutrophil-To-Lymphocyte Ratio as a Prognostic Indicator in Thyroid Cancer.Cancer control : journal of the Moffitt Cancer Center
    Pooled it
  2. Article
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  5. The association of the advanced lung cancer inflammation index with the risk ofFrontiers in cellular and infection microbiology · 2026
    Article
  6. Article
  7. Prognostic value of systemic inflammation-modified Patient-Generated Subjective Global Assessment in advanced cancers: A large-scale retrospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
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  12. 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

9 authors at 2 institutions in 1 country.

Lilong Zhang *Department of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Kailiang Zhao *Department of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Tianrui KuangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Kunpeng WangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Dongqi ChaiDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Zhendong QiuDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Rongqiang LiuDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Wenhong DengDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China. wenhongdeng@whu.edu.cn.
Weixing WangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China. wangwx@whu.edu.cn.
Wuhan University · CNHuazhong Agricultural University · CN

Funding

National Natural Science Foundation of China 81870442National Natural Science Foundation of China 82172855
6 · The paper itself

Abstract

backgroundSystemic inflammation is crucial for the development and progression of cancers. The advanced lung cancer inflammation index (ALI) is considered to be a better indicator of systemic inflammation than current biomarkers. However, the prognostic value of the ALI in gastrointestinal neoplasms remains unclear. We performed the first meta-analysis to explore the association between ALI and gastrointestinal oncologic outcomes to help physicians better evaluate the prognosis of those patients.

methodsEligible articles were retrieved using PubMed, the Cochrane Library, EMBASE, and Google Scholar by December 29, 2022. Clinical outcomes were overall survival (OS), disease-free survival (DFS), progression-free survival (PFS), and cancer-specific survival (CSS).

resultsA total of 18 articles with 6898 patients were included in this meta-analysis. The pooled results demonstrated that a low ALI was correlated with poor OS (HR = 1.914, 95% CI: 1.514-2.419, P < 0.001), DFS (HR = 1.631, 95% CI: 1.197-2.224, P = 0.002), and PFS (HR = 1.679, 95% CI: 1.073-2.628, P = 0.023) of patients with gastrointestinal cancers. Subgroup analysis revealed that a low ALI was associated with shorter OS (HR = 2.279, 95% CI: 1.769-2.935, P < 0.001) and DFS (HR = 1.631, 95% CI: 1.197-2.224, P = 0.002), and PFS (HR = 1.911, 95% CI: 1.517-2.408, P = 0.002) of patients with colorectal cancer. However, the ALI was not related to CSS in the patients with gastrointestinal malignancy (HR = 1.121, 95% CI: 0.694-1.812, P = 0.640). Sensitivity analysis supported the stability and dependability of the above results.

conclusionThe pre-treatment ALI was a useful predictor of prognosis in patients with gastrointestinal cancers.

Indexed as

Gastrointestinal NeoplasmsLung NeoplasmsBiomarkersHumansInflammationPrognosisBiomarkersAdvanced lung cancer inflammation indexGastrointestinal cancersMeta-analysisPrognosis

Identifiers

PMID36717809
PMCPMC9885705
OpenAlexW4318473747

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.