Evidence map›Paper›PMID 37291493›Full record

SynthesisBMC cancer2023

Log odds of positive lymph nodes as a novel prognostic predictor for gastric cancer: a systematic review and meta-analysis.

Yiding Li, Guiling Wu, Jinqiang Liu, Yujie Zhang, Wanli Yang, Xiaoqian Wang, Lili Duan, Liaoran Niu, Junfeng Chen, Wei Zhou and 6 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 13 citations in OpenAlex.

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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

16 authors at 4 institutions in 1 country.

Yiding Li *Department of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Guiling Wu *School of Aerospace Medicine, Fourth Military Medical University, Xi'an, 710032, China.
Jinqiang Liu *Department of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Yujie ZhangDepartment of Histology and Embryology, School of Basic Medicine, Xi'an Medical University, Xi'an, 710021, China.
Wanli YangDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Xiaoqian WangDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Lili DuanDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Liaoran NiuDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Junfeng ChenDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Wei ZhouDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Weili HanDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Jing WangDepartment of Immunology, Fourth Military Medical University, Xi'an, 710032, China.
Helun ZhongTreatment Centre for Traumatic Injures, Academy of Orthopedics Guangdong Province, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Gang JiDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Daiming FanDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China.
Liu HongDepartment of Digestive Surgery, Xijing Hospital, Air Force Medical University, 127 Changle West Road, Xi'an, Shaanxi Province, 710032, China. hongliu1@fmmu.edu.cn.
Air Force Medical University · CNXijing Hospital · CNThird Affiliated Hospital of Southern Medical University · CNXi'an Medical University · CN

Funding

National Natural Science Foundation of China 82073210the Key Research and Development Program of Shaanxi Province of China 2019ZDLSF01-02-01Xjijng Zhutui Project XJZT18ML06
6 · The paper itself

Abstract

backgroundWe conducted a systematic review and meta-analysis to summarize the predictive and prognostic ability of the log odds of positive lymph nodes (LODDS) staging system and compare it with pathological N (pN) classification and the ratio-based lymph node system (rN) for the overall survival (OS) of gastric cancer (GC).

methodsThrough a systematic review till March 7, 2022, we identified population-based studies that reported the prognostic effects of LODDS in patients with GC. We compare the predictive effectiveness of the LODDS staging system with that of the rN and pN classification systems for the OS of GC.

resultsTwelve studies comprising 20,312 patients were included in this systematic review and meta-analysis. The results showed that LODDS1, LODDS2, LODDS3, and LODDS4 in GC patients were correlated with poor OS compared with LODDS0 (LODDS1 vs. LODDS0: HR = 1.62, 95% CI (1.42, 1.85); LODDS2 vs. LODDS0: HR = 2.47, 95% CI (2.02, 3.03); LODDS3 vs. LODDS0: HR = 3.15, 95% CI (2.50, 3.97); LODDS4 vs. LODDS0: HR = 4.55, 95% CI (3.29, 6.29)). Additionally, significant differences in survival were observed among patients with different LODDS classifications (all P-values were < 0.001) with the same rN and pN classifications. Meanwhile, for patients with different pN or rN classifications with the same LODDS classification, prognosis was highly similar.

conclusionThe findings show that LODDS is correlated with the prognosis of GC patients and is superior to the pN and rN classifications for prognostic assessment.

Indexed as

Stomach NeoplasmsHumansLymph NodesNeoplasm StagingPrognosisRetrospective StudiesGastric cancerLog odds of positive lymph nodes (LODDS)Meta-analysisOverall survivalPrognostic predictor

Identifiers

PMID37291493
PMCPMC10251690
OpenAlexW4379880548

What OpenQuestion holds

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LicenceCC BY
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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.