Evidence map›Paper›PMID 37410304›Full record

ArticleInternational urology and nephrology2023

Can HALP score, a new prognostic tool, take the place of traditional scoring systems in Fournier's gangrene?

Tanju Keten, Ali Yasin Ozercan, Unsal Eroglu, Serdar Basboga, Koray Tatlici, Cagdas Senel, Ozer Guzel, Altug Tuncel

Abstract read
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Article in International urology and nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 8 citations in OpenAlex.

  1. The role of negative-pressure wound therapy in Fournier's gangrene: Association with mortality.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  2. Clinical and laboratory predictors of mortality in Fournier's gangrene: prognostic role of the HALP score.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Comparison of FGSI and HALP scores for mortality prediction in Fournier's Gangrene: A retrospective analysis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. HALP score inOpen medicine (Warsaw, Poland) · 2025
    Article
  8. Review
  9. Heliyon · 2024
    Article
  10. Article
  11. The HALP score may require modification for non-cancer prognosis.International urology and nephrology · 2024
    Article
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 2 institutions in 1 country.

Tanju KetenDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey. tanjuketen@gmail.com.ORCID http://orcid.org/0000-0002-5217-6011
Ali Yasin OzercanDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey.ORCID http://orcid.org/0000-0001-8378-0409
Unsal ErogluDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey.ORCID http://orcid.org/0000-0002-6615-8500
Serdar BasbogaDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey.ORCID http://orcid.org/0000-0003-3385-518X
Koray TatliciDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey.ORCID http://orcid.org/0000-0001-7866-8084
Cagdas SenelSchool of Medicine, Department of Urology, Balıkesir University, Balıkesir, Turkey.ORCID http://orcid.org/0000-0002-4030-002X
Ozer GuzelDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey.ORCID http://orcid.org/0000-0003-4647-4706
Altug TuncelDepartment of Urology, University of Health Sciences, Ankara Bilkent City Hospital, Cankaya, 06800, Ankara, Turkey.ORCID http://orcid.org/0000-0003-2482-797X
Çankaya University · TRBalıkesir University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFournier's Gangrene (FG) is a fatal condition, therefore prognosis prediction is a crucial step before treatment planning. We aimed to investigate the predictive value of Hemoglobin, Albumin, Lymphocyte and Platelet (HALP) score which is frequently employed in vascular disorders and malignancies, on disease severity and survival in FG patients and to compare HALP score with well-known scoring systems on this aspect. MATERIALS AND

methodsEighty-seven men who had surgical debridement for FG between December 2006 and January 2022 were included in this study. Their symptoms, physical examination findings, laboratory tests, medical histories, vital signs, extent and timing of the surgical debridement and antimicrobial therapies were noted. The HALP score, Age-adjusted Charlson Comorbidity Index (ACCI) and Fournier's Gangrene Severity Index (FGSI) were evaluated for their predictive values for survival.

resultsFG patients were grouped as survivors (Group 1, n = 71) and non-survivors (Group 2, n = 16) and the results were compared. The mean ages of survivors (59 ± 12.55 years) and non-survivors (64.5 ± 14.6 years) were similar (p = 0.114). The median size of necrotized body surface area was 3% in Group 1 and 4.8% in Group 2 (p = 0.013). On admission, hemoglobin, albumin and serum urea levels and white blood cell counts were significantly different in two study groups. Two study groups were similar for HALP scores. However, ACCI and FGSI scores were greater significantly in non-survivors.

conclusionsOur results indicated that HALP score does not predict a survival successfully in FG. However, FGSI and ACCI are successful outcome predictors in FG.

Indexed as

Fournier GangreneAgedAlbuminsHemoglobinsHumansLymphocytesMaleMiddle AgedPrognosisRetrospective StudiesSeverity of Illness IndexAlbuminsHemoglobinsACCIFGSIFournier’s gangreneHALP scorePrognosisSeverity

Identifiers

PMID37410304
OpenAlexW4383302763

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.