Evidence map›Paper›PMID 38777931›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

The prognostic value of immune-nutritional status in metastatic colorectal cancer: Prognostic Nutritional Index (PNI).

Merve Keskinkilic, Huseyin Salih Semiz, Evrim Ataca, Tugba Yavuzsen

Abstract read
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing 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

49 citing papers in PubMed.

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  9. Longitudinal trajectories of nutritional markers in patients with de novo Stage IV gastric cancer: a descriptive analysis using one-year survival as a reference.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  12. Prognostic Value of HALP and PNI Scores in Predicting 6-Month Mortality Among Geriatric Hip Fracture Patients.Medical science monitor : international medical journal of experimental and clinical research · 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

4 authors.

Merve KeskinkilicDepartment of Medical Oncology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. mervekeskinkilic90@gmail.com.ORCID http://orcid.org/0000-0002-3342-3144
Huseyin Salih SemizDepartment of Medical Oncology, Institute of Oncology, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0002-7083-8517
Evrim AtacaDeparment of Internal Medicine, Mus State Hospital, Mus, Turkey.ORCID http://orcid.org/0000-0001-6572-0277
Tugba YavuzsenDepartment of Medical Oncology, Institute of Oncology, Dokuz Eylul University, Izmir, Turkey.ORCID http://orcid.org/0000-0001-9375-8133

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backround and purposeA low Prognostic Nutritional Index (PNI) value, which reflects immune nutrition and inflammation around the tumor, is associated with an unfavorable prognosis, and it was aimed to reveal its prognostic value in metastatic colorectal cancer (CRC).

methodsIn our retrospective cross-sectional study, patients with a diagnosis of metastatic colorectal disease without active infection, between January 2010 and December 2016 were included. The PNI values at the time of diagnosis were calculated according to the formula (10 × serum albumin (g/dL)) + (0.005 × total lymphocyte value).

resultsThe mean PNI value of 253 patients included in the study was 46.6. While 53.75% (n = 136) of the patients had a PNI value of 46.6 and above, 46.25% (n = 117) had a PNI value below 46.6. The overall survival (OS) of the group with a PNI of 46.6 and above was statistically significantly longer (53.06 months vs 38.80 months, p = 0.039). The PFS duration of the group with PNI below 46.6 was 25.66 months, while the PFS duration of the group with PNI above 46.6 was not reached (p = 0.265).

conclusionPNI is a simple and inexpensive index that evaluates the immunonutritional status, and it is a prognostic marker that can be easily used in patients with metastatic colorectal cancer as in other cancer types.

Indexed as

Colorectal NeoplasmsNutritional StatusNutrition AssessmentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeoplasm MetastasisPrognosisRetrospective StudiesSerum AlbuminSerum AlbuminColorectal cancer (CRC)Immune statusMetastasisNutritional assessmentPrognostic factors

Identifiers

PMID38777931
PMCPMC11111560

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LicenceCC BY
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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.