Evidence map›Paper›PMID 38529588›Full record

ArticleJournal of breast cancer2024

Correlation of Neutrophil-Lymphocyte and Albumin-Globulin Ratios With Outcomes in Patients With Breast Cancer Undergoing Neoadjuvant Chemotherapy or Upfront Surgery.

Shi Hui Yang, Min Li Tey, Siqin Zhou, Phyu Nitar, Hanis Mariyah, Yirong Sim, Grace Kusumawidjaja, Wen Yee Chay, Wong Fuh Yong, Ru Xin Wong

Abstract read
In one paragraph

Article in Journal of breast cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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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

10 authors.

Shi Hui YangDepartment of Breast Surgery, Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore, Singapore. christina.yang.s.h@singhealth.com.sg.ORCID https://orcid.org/0009-0000-3199-4288
Min Li TeyDepartment of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-8727-2508
Siqin ZhouClinical Trial officer, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-1895-4916
Phyu NitarCancer Informatics, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0006-1587-5004
Hanis MariyahCancer Informatics, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0001-3149-7457
Yirong SimDepartment of Breast Surgery, Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-8758-0455
Grace KusumawidjajaDepartment of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-2910-9080
Wen Yee ChayDepartment of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-3482-0176
Wong Fuh YongDepartment of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-6658-3371
Ru Xin WongDepartment of Radiation Oncology, National Cancer Centre Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0002-4973-7404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHigher neutrophil-lymphocyte ratio (NLRs) indicate a pro-inflammatory state and are associated with poor survival. Conversely, higher albumin-globulin ratio (AGRs) may be associated with improved prognosis. We aimed to investigate the association between NLR and AGR and prognosis and survival in patients with breast cancer.

methodsThis retrospective study included all patients with stage I-III breast cancer between 2011 and 2017 in Singapore General Hospital and National Cancer Center Singapore. Multivariate logistic regression analysis of NLR, AGR, age, stage, grade, and subtype was performed. Survival data between groups were compared using Cox regression analysis and log-rank tests.

resultsA total of 1,188 patients were included, of whom 323 received neoadjuvant chemotherapy (NACT) and 865 underwent upfront surgery. In patients who underwent NACT, a higher AGR was significantly associated with a higher pCR rate (cut-off > 1.28; odds ratio [OR], 2.03; 95% confidence interval [CI], 1.13-3.74;

conclusionNLR and AGR are useful in predicting the response to NACT as well as prognosis of patients with breast cancer. Further studies are needed to explore their value in clinical decision making.

Indexed as

AlbuminsBreast NeoplasmsGlobulinsLymphocytesNeutrophils

Identifiers

PMID38529588
PMCPMC11065497

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.