Evidence map›Paper›PMID 37649021›Full record

ArticleBMC cancer2023

Baseline serum tumor markers predict the survival of patients with advanced non-small cell lung cancer receiving first-line immunotherapy: a multicenter retrospective study.

Jian Huang, Yi Xiao, Yubin Zhou, Huiyin Deng, Zihao Yuan, Longyan Dong, Jun Lan, Xiane Li, Gaijiao Liu, Hao Hu and 2 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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  18. POLE: Development and Validation of a Pulmonary Embolism Prediction Model in Lung Cancer.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
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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

12 authors at 8 institutions in 1 country.

Jian Huang *Department of Thoracic Surgery, Jiangxi Cancer Hospital, Nanchang, Jiangxi, China.
Yi Xiao *Department of Cardio-Thoracic Surgery, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Yubin Zhou *Department of Cardio-Thoracic Surgery, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China.
Huiyin DengDepartment of Anesthesiology, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zihao YuanThe Second Clinical Medical College, Guangdong Medical University, Dongguan, Guangdong, China.
Longyan DongThe Second Clinical Medical College, Guangdong Medical University, Dongguan, Guangdong, China.
Jun LanDepartment of General Surgery, the People's Hospital of Gaoan City. Gaoan, Jiangxi, China.
Xiane LiJiangxi Cancer Hospital, Nanchang, Jiangxi, China.
Gaijiao LiuDepartment of Anesthesiology, Shenzhen Second People's Hospital, Guangzhou, China.
Hao HuDepartment of Radiation Therapy, General Hospital of Southern Theater Command, Guangzhou, Guangdong, China. qianhe89513@163.com.
Shaohong HuangDepartment of Cardio-Thoracic Surgery, Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, China. hshaoh@mail.sysu.edu.cn.
Xiongwen YangDepartment of Thoracic Surgery, Jiangxi Cancer Hospital, Nanchang, Jiangxi, China. mcyangxiongwen300@mail.scut.edu.cn.
Jiangxi Provincial Cancer Hospital · CNGuangdong Medical College · CNThird Affiliated Hospital of Sun Yat-sen University · CNGaochun People's Hospital · CNGeneral Hospital of Guangzhou Military Command · CNShenzhen Second People's Hospital · CNSun Yat-sen University · CNThird Xiangya Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate the association between baseline serum tumor markers (STMs) (carcinoembryonic antigen [CEA], neuron-specific enolase [NSE], cytokeratin-19 fragment [CYFRA21-1], carbohydrate antigen 19-9 [CA19-9], and carbohydrate antigen 125 [CA125]) and the efficacy of first-line immunotherapy in patients with advanced non-small cell lung cancer.

methodsThis multicenter retrospective study evaluated patients who received first-line immunotherapy between July 2017 and July 2022. The endpoints were progression-free survival (PFS) and overall survival (OS), as defined by the Response Evaluation Criteria in Solid Tumors version 1.1. We divided the patients into three groups based on STM levels: Group A ≥ threefold upper limit of normal, threefold upper limit of normal > Group B > upper limit of normal, and Group C ≤ upper limit of normal.

resultsIn total, 716 patients were included in this study. In Cox proportional hazards analyses, the STM levels in Group C were independently associated with superior PFS and OS in patients with lung adenocarcinoma (LUAD). Except for CA19-9 level, the STM levels in Group C were independently associated with superior PFS and OS in patients with lung squamous carcinoma (LUSC). Except for CEA and CA19-9 levels, the levels in Group A were independently associated with inferior PFS and OS in patients with LUAD and LUSC.

conclusionsSerum CEA, NSE, CYFRA21-1, and CA125 levels can predict PFS and OS in patients with LUAD and LUSC, and serum CA19-9 levels can predict PFS and OS in patients with LUAD. The higher the serum NSE, CYFRA21-1, and CA125 levels, the worse the PFS and OS in patients with LUAD and LUSC. In addition, the higher the serum CA19-9 level, the worse the OS in patients with LUAD.

Indexed as

Adenocarcinoma of LungCarcinoma, Non-Small-Cell LungCarcinoma, Squamous CellLung NeoplasmsAntigens, NeoplasmBiomarkers, TumorCA-125 AntigenCA-19-9 AntigenCarbohydratesCarcinoembryonic AntigenHumansImmunotherapyKeratin-19Retrospective Studiesantigen CYFRA21.1Antigens, NeoplasmBiomarkers, TumorCA-125 AntigenCA-19-9 AntigenCarbohydratesCarcinoembryonic AntigenKeratin-19Baseline serum tumor markersImmunotherapyNon-small cell lung cancerOverall survivalProgression-free survival

Identifiers

PMID37649021
PMCPMC10466830
OpenAlexW4386290234

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.