Evidence map›Paper›PMID 37430160›Full record

ArticleJournal of cancer research and clinical oncology2023

Prognostic significance of post-preoperative tumor markers increments in patients with non-metastatic gastric cancer.

Xiao-Dong Zhu, Li-Xiang Zhang, Pan-Quan Luo, Hai Zhu, Zhi-Jian Wei, A-Man Xu

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Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

6 citing papers in PubMed, 6 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

6 authors at 3 institutions in 1 country.

Xiao-Dong Zhu *Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218th, Shushan Street, Hefei, 230032, Anhui, China.
Li-Xiang Zhang *Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218th, Shushan Street, Hefei, 230032, Anhui, China.
Pan-Quan LuoDepartment of General Surgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218th, Shushan Street, Hefei, 230032, Anhui, China.
Hai ZhuDepartment of General Surgery, Anhui Provincial Hospital, Luyang Street, Hefei, 230036, Anhui, China.
Zhi-Jian WeiDepartment of General Surgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218th, Shushan Street, Hefei, 230032, Anhui, China.
A-Man XuDepartment of General Surgery, The First Affiliated Hospital of Anhui Medical University, Jixi Road 218th, Shushan Street, Hefei, 230032, Anhui, China. xamayfy689@163.com.
First Affiliated Hospital of Anhui Medical University · CNAnhui Medical University · CNAnhui Provincial Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCarcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) are the most common tumor markers detected before and after gastric cancer (GC) surgery. However, the impact of post-preoperative CEA/CA19-9 increments on prognosis of GC remains unclear. In addition, there is no research incorporating post-preoperative CEA/CA19-9 increments into the prognostic model.

methodsPatients who underwent radical gastrectomy for GC at the First Affiliated Hospital of Anhui Medical University and Anhui Provincial Hospital from January 2013 to December 2017 were enrolled and divided into the discovery and validation cohort. Prognostic value of post-preoperative CEA/CA19-9 increments and preoperative CEA/CA199 levels were assessed by Kaplan-Meier log-rank analysis and compared by time-dependent receiver operating characteristic (t-ROC) curves. Multivariate Cox regression analysis was applied to establish the nomogram. The performance of the prognostic model was validated by the concordance index (C-index), calibration curve, and ROC curve analysis.

resultsA total of 562 GC patients were included in this study. Overall survival (OS) rates decreased with an increasing number of incremental tumor markers after surgery. The t-ROC curves implied that the prognostic ability of the number of incremental post-preoperative tumor markers was superior to that of the number of positive preoperative tumor markers. Cox regression analysis suggested that the number of incremental post-preoperative tumor markers was an independent prognostic factor. The nomogram incorporated with the post-preoperative CEA/CA19-9 increments showed reliable accuracy.

conclusionsIncremental post-preoperative CEA/CA19-9 were indicator of poor prognosis of GC. The prognostic value of post-preoperative CEA/CA19-9 increments exceed that of preoperative CEA/CA19-9 levels.

Indexed as

Biomarkers, TumorStomach NeoplasmsCA-19-9 AntigenCarcinoembryonic AntigenHumansPrognosisRetrospective StudiesBiomarkers, TumorCA-19-9 AntigenCarcinoembryonic AntigenCarbohydrate antigen 19-9Carcinoembryonic antigenGastric cancerNomogramPrognosis

Identifiers

PMID37430160
PMCPMC10465627
OpenAlexW4383815409

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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.