Evidence map›Paper›PMID 38974895›Full record

ArticleBreast cancer (Dove Medical Press)2024

The Effect of C-Reactive Protein/Lymphocyte Ratio (CLR) on PFS in Metastatic Breast Cancer Patients Treated with CDK4/6 Inhibitors: A Novel Biomarker.

Mehmet Emin Buyukbayram, Zekeriya Hannarici, Yakup Duzkopru, Aykut Turhan, Alperen Akansel Caglar, Pınar Coban Esdur, Mehmet Bilici, Salim Basol Tekin, Doğan Yazılıtaş

Abstract read
In one paragraph

Article in Breast cancer (Dove Medical Press), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Systemic inflammation plays a key prognostic role in patients with head and neck cancer treated with immunotherapy and is linked to CT-based body composition metrics.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 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

9 authors.

Mehmet Emin BuyukbayramDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.ORCID 0000-0002-5454-7576
Zekeriya HannariciDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Yakup DuzkopruDepartment of Medical Oncology, Ankara Etlik City Hospital, Ankara, Turkey.
Aykut TurhanDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Alperen Akansel CaglarDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Pınar Coban EsdurDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Mehmet BiliciDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Salim Basol TekinDepartment of Medical Oncology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
Doğan YazılıtaşDepartment of Medical Oncology, Ankara Etlik City Hospital, Ankara, Turkey.ORCID 0000-0003-3850-7870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Hormone positive breast cancer is a tumor with high mortality. Combining antihormonal therapy with cyclin dependent kinase 4/6 inhibitors (CDK4/6i) has resulted in longer survival. The effect of inflammatory parameters such as c-reactive protein and c-reactive protein/lymphocyte ratio (CLR) on efficacy and survival in CDK4/6i treatment is unknown. In our study, we aimed to investigate the role of CLR and some parameters in predicting progression-free survival (PFS) with CDK4/6i. Methods: This retrospective cohort study included 78 patients with denovo and recurrent metastatic breast cancer treated with CDK4/6i. Cut off values for the prediction of mortality by various numerical parameter scores were performed by ROC Curve analysis. The effect of clinical variables, inflammatory and histopathological parameters on survival was analyzed by Kaplan-Meier method. Results: Neutrophil/lymphocyte ratio (NLR) and CLR were statistically significant in predicting mortality (p < 0.05). Ki67 and CLR were correlated with PFS. Age and CLR were correlated with OS (p < 0.05). CLR was statistically significant for both PFS (p = 0.022) and OS (p = 0.006). Conclusion: In patients with metastatic hormone-positive breast cancer using CDK4/6i, low CLR and low Ki67 were correlated with longer PFS duration.

Indexed as

C-reactivated protein/lymphocyte ratiohormone-positive breast cancerprogression-free survival

Identifiers

PMID38974895
PMCPMC11227876

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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.