Evidence map›Paper›PMID 37971409›Full record

ArticleThe oncologist2024

Development of a Prognostic Model for Early Breast Cancer Integrating Neutrophil to Lymphocyte Ratio and Clinical-Pathological Characteristics.

Sara Socorro Faria, Diana Giannarelli, Vladmir Claudio Cordeiro de Lima, Sumadi Luckman Anwar, Chiara Casadei, Ugo De Giorgi, Gabriele Madonna, Paolo Antonio Ascierto, Rossana Veronica Mendoza López, Roger Chammas and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06447532 (Use of Machine Learning Techniques for Serial Assessment of Systemic Inflammatory Markers in Breast Cancer Patients), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

NCT06447532 enrolling by invitationnot on this map

Use of Machine Learning Techniques for Serial Assessment of Systemic Inflammatory Markers in Breast Cancer Patients

TypeobservationalSponsorFederal University of São PauloRan2024 to 2027Enrolled4,500ConditionsBreast CancerArmsSurgery (Mastectomy or quadrantectomy)
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 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

11 authors at 7 institutions in 3 countries.

Sara Socorro FariaLaboratory of Immunology and Inflammation, Department of Cell Biology, University of Brasilia, DF Brasilia, Brazil.
Diana GiannarelliDepartment of Epidemiology and Biostatistics, GSTeP, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.ORCID 0000-0002-6085-1195
Vladmir Claudio Cordeiro de LimaDepartment of Medical Oncology, A.C. Camargo Cancer Center, Sao Paulo, SPBrazil.
Sumadi Luckman AnwarDepartment of Surgery, Faculty of Medicine, Public Health and Nursing, Dr. Sardjito Hospital, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Chiara CasadeiDepartment of Medical Oncology, IRCCS Instituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori," Meldola, Italy.
Ugo De GiorgiDepartment of Medical Oncology, IRCCS Instituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori," Meldola, Italy.
Gabriele MadonnaDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics. Istituto Nazionale Tumori IRCCS Fondazione "G. Pascale" Napoli, Italy.ORCID 0000-0001-9395-3190
Paolo Antonio AsciertoDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics. Istituto Nazionale Tumori IRCCS Fondazione "G. Pascale" Napoli, Italy.ORCID 0000-0002-8322-475X
Rossana Veronica Mendoza LópezCenter for Translational Research in Oncology, Institute of Cancer of São Paulo State, University of São Paulo, São Paulo, Brazil.ORCID 0000-0001-7993-767X
Roger ChammasCenter for Translational Research in Oncology, Institute of Cancer of São Paulo State, University of São Paulo, São Paulo, Brazil.ORCID 0000-0003-0342-8726
Mariaelena CaponeDepartment of Melanoma, Cancer Immunotherapy and Development Therapeutics. Istituto Nazionale Tumori IRCCS Fondazione "G. Pascale" Napoli, Italy.ORCID 0000-0002-1352-2532
Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITUniversidade de São Paulo · BRAC Camargo Hospital · BRAgostino Gemelli University Polyclinic · ITUniversidade de Brasília · BRUniversitas Gadjah Mada · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer-related inflammation is critical in tumorigenesis, cancer progression, and patient prognosis. Several inflammatory markers derived from peripheral blood cells count, such as the neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR), monocyte-lymphocyte ratio (MLR), and systemic immune-inflammation index (SII) are considered as prognostic markers in several types of malignancy.

methodsWe investigate and validate a prognostic model in early patients with breast cancer to predict disease-free survival (DFS) based on readily available baseline clinicopathological prognostic factors and preoperative peripheral blood-derived indexes.

resultsWe analyzed a training cohort of 710 patients and 2 external validation cohorts of 980 and 157 patients with breast cancer, respectively, with different demographic origins. An elevated preoperative NLR is a better DFS predictor than others scores. The prognostic model generated in this study was able to classify patients into 3 groups with different risks of relapse based on ECOG-PS, presence of comorbidities, T and N stage, PgR status, and NLR.

conclusionPrognostic models derived from the combination of clinicopathological features and peripheral blood indices, such as NLR, represent attractive markers mainly because they are easily detectable and applicable in daily clinical practice. More comprehensive prospective studies are needed to unveil their actual effectiveness.

Indexed as

Breast NeoplasmsBiomarkersFemaleHumansInflammationLymphocytesNeoplasm Recurrence, LocalNeutrophilsPrognosisRetrospective StudiesBiomarkersbreast cancerexternal validationneutrophil-to-lymphocyte ratioprognostic model

Identifiers

PMID37971409
PMCPMC10994264
OpenAlexW4388721981

What OpenQuestion holds

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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.