Evidence map›Paper›PMID 36765760›Full record

ReviewCancers2023

Neutrophil to Lymphocyte Ratio in Oropharyngeal Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis.

Juan P Rodrigo, Mario Sánchez-Canteli, Asterios Triantafyllou, Remco de Bree, Antti A Mäkitie, Alessandro Franchi, Henrik Hellquist, Nabil F Saba, Göran Stenman, Robert P Takes and 3 more

Abstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Prognostic Significance of the Pretreatment Neutrophil-to-Lymphocyte Ratio and Tumor-Associated Neutrophils in Head and Neck Squamous Cell Carcinoma: Systematic Review and Meta-Analysis.Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology · 2026
    Pooled it
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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

13 authors.

Juan P RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias and Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, 33011 Oviedo, Spain.ORCID 0000-0003-3063-0890
Mario Sánchez-CanteliDepartment of Otolaryngology, Hospital Universitario Central de Asturias and Instituto de Investigación Sanitaria del Principado de Asturias (ISPA), Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, 33011 Oviedo, Spain.ORCID 0000-0003-0343-0041
Asterios TriantafyllouDepartment of Pathology, Liverpool Clinical Laboratories, School of Dentistry, University of Liverpool, Liverpool L3 5PS, UK.
Remco de BreeDepartment of Head and Neck Surgical Oncology, University Medical Center Utrecht, University of Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-7128-5814
Antti A MäkitieDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, 00290 Helsinki, Finland.ORCID 0000-0002-0451-2404
Alessandro FranchiDepartment Translational Research and of New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-1332-5838
Henrik HellquistFaculty of Medicine and Biomedical Sciences (FMCB), University of Algarve, Algarve Biomedical Center Research Institute (ABC-RI), 8005-139 Faro, Portugal.
Nabil F SabaDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, GA 30322, USA.ORCID 0000-0003-4972-1477
Göran StenmanSahlgrenska Center for Cancer Research, Department of Laboratory Medicine, University of Gothenburg, SE-405 30 Gothenburg, Sweden.ORCID 0000-0003-1017-7363
Robert P TakesDepartment of Otolaryngology-Head and Neck Surgery, Radboud University Medical Center, 6500 AB Nijmegen, The Netherlands.
Cristina ValeroOtorhinolaryngology Department, Hospital de La Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, 08041 Barcelona, Spain.ORCID 0000-0003-3397-2888
Nina ZidarInstitute of Pathology, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0001-6866-3220
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, 35125 Padua, Italy.ORCID 0000-0002-8247-8002

Funding

Centro de Investigación Biomédica en Red de Cáncer CB16/12/00390Gobierno del Principado de Asturias IDI/2021/000079Instituto de Salud Carlos III PI19/00560
6 · The paper itself

Abstract

Neutrophil-to-lymphocyte ratio (NLR) has been associated with survival in various cancers, including head and neck cancer. However, there is limited information on its role in oropharyngeal squamous cell carcinomas (OPSCC) according to HPV status. This prompted the present meta-analysis. Studies were selected when the prognostic value of NLR prior to treatment was evaluated in OPSCC patients, the cutoff value of NLR was available, and the prognostic value of NLR was evaluated by time-to-event survival analysis. A total of 14 out of 492 articles, including 7647 patients, were analyzed. The results showed a worse prognosis for the patients with a high NLR: The combined hazard ratios (HR) for overall survival (OS) in patients with an elevated NLR was 1.56 (95% confidence interval (CI) 1.21-2.02;

Indexed as

meta-analysisneutrophil-to-lymphocyte ratiooropharyngeal squamous cell carcinomaprognosis

Identifiers

PMID36765760
PMCPMC9913392

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.