Evidence map›Paper›PMID 38565751›Full record

ArticleInternational journal of clinical oncology2024

Albumin-myosteatosis gauge as a prognostic factor in patients with advanced pancreatic cancer undergoing first-line chemotherapy.

Taha Koray Sahin, Yakup Ozbay, Ahmet Yasir Altunbulak, Halil Ibrahim Altunbulak, Mehmet Ruhi Onur, Furkan Ceylan, Deniz Can Guven, Suayib Yalcin, Omer Dizdar

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Article in International journal of clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
5.9field-weighted citation impact, top 3% 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.

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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 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

9 authors at 2 institutions in 1 country.

Taha Koray SahinDepartment of Medical Oncology, Faculty of Medicine, Hacettepe University, Sihhiye, 06100, Ankara, Turkey. takorsah@gmail.com.ORCID http://orcid.org/0000-0002-3590-0426
Yakup OzbayDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Ahmet Yasir AltunbulakDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Halil Ibrahim AltunbulakDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Mehmet Ruhi OnurDepartment of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Furkan CeylanDepartment of Medical Oncology, Ankara City Hospital, Ankara, Turkey.
Deniz Can GuvenDepartment of Medical Oncology, Faculty of Medicine, Hacettepe University, Sihhiye, 06100, Ankara, Turkey.
Suayib YalcinDepartment of Medical Oncology, Faculty of Medicine, Hacettepe University, Sihhiye, 06100, Ankara, Turkey.
Omer DizdarDepartment of Medical Oncology, Faculty of Medicine, Hacettepe University, Sihhiye, 06100, Ankara, Turkey.
Hacettepe University · TRMemorial Ankara Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcopenia and myosteatosis have been associated with a poor prognosis for several cancers. The albumin-myosteatosis gauge (AMG) is a novel integrated measure proposed to assess myosteatosis along with serum albumin level as a surrogate of systemic inflammation and malnutrition. The aim of this study was to investigate the prognostic value of AMG in patients with advanced pancreatic ductal adenocarcinoma (PDAC).

methodsPatients with advanced PDAC treated with chemotherapy between 2013 and 2022 were evaluated. Skeletal muscle radiodensity (SMD) and skeletal muscle index (SMI) were calculated using computed tomography at the level of the L3 vertebra. The AMG was defined as albumin x SMD and expressed as an arbitrary unit (AU). Patients were first categorized by sex-specific quartiles and then dichotomized at the sex-specific median value of the AMG.

resultsA total of 196 patients were included. The median age (interquartile range) was 62 (54-67), and 128 (65.3%) were male. With regard to AMG, 142.86 and 114.15 AU were identified as cutoff values for males and females, respectively. In multivariable analyses, lower AMG values (G1-G2 vs. G3-G4) (HR: 1.61, 95% CI 1.17-2.21, p = 0.003), higher ECOG performance score (> 0 vs. 0) (HR: 1.51, 95% CI 1.10-2.06, p = 0.009) and metastatic disease (vs. locally advanced) (HR: 1.88, 95% CI 1.27-2.79, p = 0.001) were associated with OS.

conclusionThe study findings suggest the prognostic value of AMG in patients with advanced PDAC undergoing first-line chemotherapy. Further studies are warranted to validate these findings and assess potential predictive role of AMG in guiding treatment selection.

Indexed as

Carcinoma, Pancreatic DuctalPancreatic NeoplasmsSarcopeniaAgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansMaleMiddle AgedMuscle, SkeletalPrognosisRetrospective StudiesSerum AlbuminTomography, X-Ray ComputedSerum AlbuminAlbuminAlbumin-myosteatosis gaugeInflammationMyosteatosisPancreatic cancer

Identifiers

PMID38565751
OpenAlexW4393559876

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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.