Evidence map›Paper›PMID 38160660›Full record

ArticleOncology2025

Prognostic Value of a Novel Index Combining the Prognostic Nutritional Index and D-Dimer Levels for Gastric Cancer after Gastrectomy.

Masaaki Yamamoto, Takeshi Omori, Naoki Shinno, Hisashi Hara, Yosuke Mukai, Takahito Sugase, Tomohira Takeoka, Takashi Kanemura, Manabu Mikamori, Shinichiro Hasegawa and 8 more

Abstract read
In one paragraph

Article in Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

18 authors.

Masaaki YamamotoDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Takeshi OmoriDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Naoki ShinnoDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Hisashi HaraDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Yosuke MukaiDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Takahito SugaseDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Tomohira TakeokaDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Takashi KanemuraDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Manabu MikamoriDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Shinichiro HasegawaDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Hirofumi AkitaDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Naotsugu HaraguchiDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Junichi NishimuraDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Hiroshi WadaDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Chu MatsudaDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Masayoshi YasuiDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Hiroshi MiyataDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.
Masayuki OhueDepartment of Gastroenterological Surgery, Osaka International Cancer Institute, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe prognostic nutritional index (PNI) and D-dimer level are two useful measures for gastric cancer prognosis. As they each comprise different factors, it is possible to employ a more useful combined indicator. This study therefore aimed to establish a PNI-D score - which combines the PNI and D-dimer level - and validate its usefulness as a prognostic marker.

methodsWe collected data from 1,218 patients with gastric cancer who had undergone radical gastrectomy (R0) between January 2004 and December 2015. Patients were divided into three PNI-D score groups based on the following criteria: score 2, low-PNI (≤46) and high D-dimer levels (>1.0 µg/mL); score 1, either low-PNI or high D-dimer levels; and score 0, no abnormality. We defined the PNI-D score as low (score 0 or 1) and high (score 2), respectively.

resultsThe PNI-D score was significantly associated with overall, recurrence-free, and disease-specific survival (all log-rank p < 0.0001). The 5-year overall survival rates of patients with PNI-D scores of low and high were 88.1% and 64.7%, respectively; their 5-year recurrence-free survival rates were 86.7% and 61.3%, respectively; and their 5-year disease-specific survival rates were 99.3% and 76.5%, respectively. Cox multivariate analysis revealed that a high-PNI-D score was an independent, statistically significant prognostic factor for poor overall (p = 0.01) survival in patients with gastric cancer.

conclusionsThe PNI-D is an independent prognostic factor for patients with gastric cancer.

Indexed as

Fibrin Fibrinogen Degradation ProductsGastrectomyNutrition AssessmentStomach NeoplasmsAdultAgedAged, 80 and overBiomarkers, TumorDisease-Free SurvivalFemaleHumansMaleMiddle AgedNutritional StatusPrognosisRetrospective StudiesBiomarkers, TumorFibrin Fibrinogen Degradation Productsfibrin fragment DD-dimerGastric cancerPrognostic nutritional index

Identifiers

PMID38160660
PMCPMC11731837

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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.