Evidence map›Paper›PMID 37686668›Full record

ArticleCancers2023

Prognostic Role of Dynamic Changes in Serological Markers in Metastatic Hormone Naïve Prostate Cancer.

Soumyajit Roy, Yilun Sun, Christopher J D Wallis, Amar U Kishan, Scott C Morgan, Daniel E Spratt, Shawn Malone, Fred Saad

Open access · goldAbstract read
In one paragraph

Article in Cancers, 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
2.1field-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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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 7 institutions in 3 countries.

Soumyajit RoyDepartment of Radiation Oncology, Rush University Medical Center, Chicago, IL 60612, USA.ORCID 0000-0001-6617-5522
Yilun SunDepartment of Population and Quantitative Health Sciences, School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.ORCID 0000-0002-1341-382X
Christopher J D WallisDepartment of Urology, Mount Sinai Hospital and University Health Network, University of Toronto, Toronto, ON M5G 1X5, Canada.ORCID 0000-0002-5990-4026
Amar U KishanDepartment of Radiation Oncology, University of California Los Angeles, Los Angeles, CA 90095, USA.
Scott C MorganDivision of Radiation Oncology, The Ottawa Hospital Cancer Centre, University of Ottawa, Ottawa, ON K1H 8L6, Canada.
Daniel E SprattDepartment of Radiation Oncology, University Hospital Seidman Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA.
Shawn MaloneDivision of Radiation Oncology, The Ottawa Hospital Cancer Centre, University of Ottawa, Ottawa, ON K1H 8L6, Canada.
Fred SaadDepartment of Surgery, Université de Montréal, Montreal, QC H2X 0A9, Canada.ORCID 0000-0003-2986-5617
University of Ottawa · CACase Western Reserve University · USMount Sinai Hospital · CARush University Medical Center · USUniversité de Montréal · CAUniversity Hospitals Seidman Cancer Center · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated whether inter-patient variation in the dynamic trajectory of hemoglobin (Hb), neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), lymphocyte to monocyte ratio (LMR), and prostate-specific antigen (PSA) can prognosticate overall survival (OS) in de novo mHSPC. This is a secondary analysis of the LATITUDE trial in which high-risk de novo mHSPC patients were randomly assigned to receive either androgen deprivation therapy (ADT) plus abiraterone or ADT plus placebo. We used a five-fold cross-validated joint model approach to determine the association of temporal changes in the serological markers with OS. Decision curve analysis was applied to determine the net benefit. When dynamic changes in Hb, LMR, NLR, PLR, and PSA were included in a multivariate joint model, an increase in the log of the current value of PSA (HR: 1.24 [1.20-1.28]) was associated with inferior OS. A multivariate joint model that captured dynamic trajectory of Hb, NLR, PLR, LMR, and PSA up to 24 months, showed a net benefit over the "treat all" strategy at a threshold of probability of approximately ≥30% while no net benefit was seen when dynamic change in PSA was omitted. Our joint model could be used for designing future adaptive trials investigating sequential treatment personalization.

Indexed as

hemoglobinjoint modelmetastatic hormone sensitive prostate cancerneutrophil to lymphocyte ratioprostate-specific antigen

Identifiers

PMID37686668
PMCPMC10486494
OpenAlexW4386408793

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.