Evidence map›Paper›PMID 37720495›Full record

ArticleTherapeutic advances in medical oncology2023

Low neutrophil-to-lymphocyte ratio and pan-immune-inflammation-value predict nodal pathologic complete response in 1274 breast cancer patients treated with neoadjuvant chemotherapy: a multicenter analysis.

Maria Luisa Gasparri, Sara Albasini, Marta Truffi, Karin Favilla, Barbara Tagliaferri, Francesca Piccotti, Daniela Bossi, Giulia Armatura, Arianna Calcinotto, Corrado Chiappa and 18 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05798806 (Retrospective, Observational, Multicentric Study Aimed at Developing a Model for Prediction of Axillary Lymph Node Status After Neoadjuvant Chemotherapy in Breast Cancer Patients), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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.

NCT05798806 active not recruitingnot on this map

Retrospective, Observational, Multicentric Study Aimed at Developing a Model for Prediction of Axillary Lymph Node Status After Neoadjuvant Chemotherapy in Breast Cancer Patients

TypeobservationalSponsorIstituti Clinici Scientifici Maugeri SpARan2020 to 2027Enrolled1,950ConditionsBreast Cancer
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. PIV, PNI and HALP score for predicting pathological complete response in breast cancer after neoadjuvant chemotherapy: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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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

28 authors.

Maria Luisa GasparriDepartment of Gynecology and Obstetrics, Ospedale Regionale di Lugano EOC, Lugano, Switzerland.
Sara AlbasiniIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.ORCID https://orcid.org/0000-0002-8764-3919
Marta TruffiIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Karin FavillaScuola di specializzazione in Chirurgia Generale, Università di Milano, Milano, Italy.ORCID https://orcid.org/0000-0002-7820-8288
Barbara TagliaferriIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Francesca PiccottiIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Daniela BossiIstituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Giulia ArmaturaChirurgia Generale, Ospedale Centrale di Bolzano, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy.ORCID https://orcid.org/0000-0002-8536-7551
Arianna CalcinottoInstitute of Oncology Research (IOR), Oncology Institute of Southern Switzerland, Bellinzona, Switzerland.
Corrado ChiappaSSD Breast Unit, ASST-Settelaghi di Varese, Varese, Italy.
Francesca CombiInternational PhD School in Clinical and Experimental Medicine (CEM), University of Modena and Reggio Emilia, Modena, Italy.
Annalisa CurcioChirurgia Senologica, Ospedale Morgagni Pierantoni, Ausl Romagna, Forlì, Italy.
Angelica Della ValleGeneral Surgery 3- Breast Surgery, Department of Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Guglielmo FerrariBreast Surgery Unit, AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Secondo FolliBreast Unit, Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Matteo GhilliBreast Cancer Centre, University Hospital of Pisa, Pisa, Italy.ORCID https://orcid.org/0000-0001-5536-7377
Chiara ListortiBreast Unit, Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID https://orcid.org/0000-0003-4553-0817
Stefano ManciniBreast Surgery, Department of Surgery, ASST Fatebenefratelli Sacco, Milano, Italy.
Peter MarinelloChirurgia Generale, Ospedale Centrale di Bolzano, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy.
Simone MeleBreast Surgery Unit, AUSL-IRCCS Reggio Emilia, Reggio Emilia, Italy.
Anna PertusatiBreast Surgery, Department of Surgery, ASST Fatebenefratelli Sacco, Milano, Italy.
Manuela RoncellaBreast Cancer Centre, University Hospital of Pisa, Pisa, Italy.
Lorenzo RossiCentro di Senologia della Svizzera Italiana, Ospedale Regionale di Lugano EOC, Lugano, Switzerland.
Francesca RoveraSSD Breast Unit, ASST-Settelaghi di Varese, Varese, Italy.
Silvia SegattiniDivision of Breast Surgical Oncology, Department of Medical and Surgical, Maternal-Infantile and Adult Sciences, University Hospital of Modena, Modena, Italy.
Adele SgarellaGeneral Surgery 3 - Breast Surgery, Department of Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Daniela TognaliChirurgia Senologica, Ospedale Morgagni Pierantoni, Ausl Romagna, Forlì, Italy.
Fabio CorsiIstituti Clinici Scientifici Maugeri IRCCS, Via Maugeri 4, Pavia, Lombardia, Italy.ORCID https://orcid.org/0000-0002-6469-4086

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic inflammatory markers draw great interest as potential blood-based prognostic factors in several oncological settings. Objectives: The aim of this study is to evaluate whether neutrophil-to-lymphocyte ratio (NLR) and pan-immune-inflammation value (PIV) predict nodal pathologic complete response (pCR) after neoadjuvant chemotherapy (NAC) in node-positive (cN+) breast cancer (BC) patients. Design: Clinically, cN+ BC patients undergoing NAC followed by breast and axillary surgery were enrolled in a multicentric study from 11 Breast Units. Methods: Pretreatment blood counts were collected for the analysis and used to calculate NLR and PIV. Logistic regression analyses were performed to evaluate independent predictors of nodal pCR. Results: A total of 1274 cN+ BC patients were included. Nodal pCR was achieved in 586 (46%) patients. At multivariate analysis, low NLR [odds ratio (OR) = 0.71; 95% CI, 0.51-0.98; Conclusion: This study found that low NLR and PIV levels predict axillary pCR in patients with BC undergoing NAC. Registration: Eudract number NCT05798806.

Indexed as

axillary dissectionaxillary surgerybreast cancerinflammatory markersneutrophil–lymphocyte ratiopan-immune-inflammation valuesentinel lymph node biopsy

Identifiers

PMID37720495
PMCPMC10504832

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Registered trials

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.