Evidence map›Paper›PMID 37996220›Full record

SynthesisBMJ open2023

Prognostic significance of platelet-to-lymphocyte ratio (PLR) in patients with breast cancer treated with neoadjuvant chemotherapy: a meta-analysis.

Xue Qi, Jia Chen, Sheng Wei, Jingyi Ni, Li Song, Conghui Jin, Lei Yang, Xunlei Zhang

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 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.

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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  6. Investigating the predictive role of inflammatory indices in cancer metastasis.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

8 authors.

Xue Qi *Department of Oncology, Nantong Liangchun Hospital of Traditional Chinese Medicine, Nantong, Jiangsu, China.
Jia Chen *Department of Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China.
Sheng Wei *Department of Radiotherapy, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China.
Jingyi NiDepartment of Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China.
Li SongDepartment of Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China.
Conghui JinDepartment of Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China.
Lei YangDepartment of Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China 477750911@qq.com leiyang.53@163.com.
Xunlei ZhangDepartment of Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, China 477750911@qq.com leiyang.53@163.com.ORCID 0000-0002-2966-0614

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePlatelet-to-lymphocyte ratio (PLR), known as a key systemic inflammatory parameter, has been proved to be associated with response to neoadjuvant therapy in breast cancer (BC); however, the results remain controversial. This meta-analysis was carried out to evaluate the prognostic values of PLR in patients with BC treated with neoadjuvant chemotherapy (NACT).

designMeta-analysis. DATA SOURCES: Relevant literature published on the following databases: PubMed, Embase, Web of Science databases and the Cochrane Library. ELIGIBILITY CRITERIA: All studies involving patients with BC treated with NACT and peripheral blood pretreatment PLR recorded were included. DATA EXTRACTION AND SYNTHESIS: Two researchers independently extracted and evaluated HR/OR and its 95% CI of survival outcomes, pathological complete response (pCR) rate and clinicopathological parameters.

resultsThe last search was updated to 31 December 2022. A total of 22 studies with 5533 patients with BC treated with NACT were enrolled in the final meta-analysis. Our results demonstrate that elevated PLR value appears to correlate with low pCR rate (HR 0.77, 95% CI 0.67 to 0.88, p<0.001, I

conclusionsThis meta-analysis demonstrated that high PLR was significantly related to the low pCR rate, poor OS and disease-free survival (DFS) of patients with BC treated with NACT. Therefore, PLR can be used as a potential predictor biomarker for the efficacy of NACT in BC.

Indexed as

Breast NeoplasmsNeoadjuvant TherapyBlood PlateletsFemaleHumansLymphocyte CountLymphocytesPlatelet CountPrognosisBreast tumoursONCOLOGYPrognosis

Identifiers

PMID37996220
PMCPMC10668253

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.