Evidence map›Paper›PMID 37491191›Full record

ArticleBMC pulmonary medicine2023

Association between albumin-to-globulin ratio and the risk of overall survival in advanced non-small cell lung cancer patients with anlotinib treatment: a retrospective cohort study.

Jinzhan Chen, Congyi Xie, Yimin Yang, Shuwen Yang, Jinxian Huang, Feiyang Ye, Zhenyang Lin, Lin Tong, Jiaxin Liu

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

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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.

Jinzhan Chen *Department of Pulmonary Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China.
Congyi Xie *Department of Pulmonary Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China.
Yimin Yang *Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Shuwen YangDepartment of Pulmonary Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China.
Jinxian HuangDepartment of Pulmonary Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China.
Feiyang YeCollege of Computer and Data Science, Fuzhou University, Fuzhou, 350108, Fujian, China.
Zhenyang LinDepartment of Thoracic Surgery, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China.
Lin TongDepartment of Pulmonary Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China. tong.lin@zs-hospital.sh.cn.
Jiaxin LiuDepartment of Pulmonary Medicine, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, 361000, Fujian, China. liu.jiaxin@zsxmhospital.com.

Funding

Natural Science Foundation of Fujian Province, China 2022J05330the National Natural Science Foundation of China 82170088Xiamen Medical and Health Guidance Project 3502Z20224ZD1085
6 · The paper itself

Abstract

objectiveResearches about the association between serum albumin-to-globulin ratio (AGR) and the prognosis of lung cancer are limited. We aimed to investigate the relationship between AGR and overall survival (OS) in patients with advanced non-small-cell lung cancer (NSCLC) treated with anlotinib.

methodsA retrospective cohort study was conducted on 196 advanced NSCLC patients with anlotinib treatment between June 1, 2018 and June 1, 2021. The exposure was AGR, calculated by baseline serum albumin / (serum total protein - serum albumin). The outcome was OS, defined as the period from the date of initial treatment with anlotinib to death or the last follow-up. The univariate and multivariate linear regression models and generalized additive models (GAM) were used to analyze the relationship between AGR and OS. The Kaplan-Meier method was used to analyze the OS.

resultsAfter adjusting for potential confounders, a non-linear relationship was observed between AGR and OS, which had an inflection point of 1.24. The hazard ratio and the confidence intervals on the left and the right sides of the inflection point were 13.05 (0.52 to 327.64) and 0.20 (0.07 to 0.57), respectively. It suggested that AGR was positively associated with OS when AGR was larger than 1.24, for every 1 unit increase in AGR, the risk of death lowered approximately by 80%.

conclusionsThe relationship between AGR and the OS for advanced NSCLC patients with anlotinib is non-linear. AGR level is an independent protective factor for OS in advanced NSCLC patients who received anlotinib therapy.

Indexed as

Carcinoma, Non-Small-Cell LungGlobulinsLung NeoplasmsHumansIndolesPrognosisQuinolinesRetrospective StudiesSerum AlbuminanlotinibGlobulinsIndolesQuinolinesSerum AlbuminAlbuminAnlotinibGlobulinLung cancerOverall survival

Identifiers

PMID37491191
PMCPMC10369733

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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.