Evidence map›Paper›PMID 39272789›Full record

ArticleCancers2024

Prognostic Factors in Patients Diagnosed with Gallbladder Cancer over a Period of 20 Years: A Cohort Study.

Nima Toussi, Krishna Daida, Michael Moser, Duc Le, Kimberly Hagel, Rani Kanthan, John Shaw, Adnan Zaidi, Haji Chalchal, Shahid Ahmed

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
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.

Nima ToussiCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Krishna DaidaCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Michael MoserCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.ORCID 0000-0003-0735-199X
Duc LeCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Kimberly HagelCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Rani KanthanCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
John ShawCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Adnan ZaidiCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Haji ChalchalCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.
Shahid AhmedCollege of Medicine, University of Saskatchewan, Saskatoon, SK S7N4H4, Canada.ORCID 0000-0002-2099-698X

Funding

College of Medicine, University of Saskatchewan Dean Research Project 2023
6 · The paper itself

Abstract

backgroundGallbladder cancer (GBC) is an uncommon cancer. This study aimed to determine the outcomes of GBC in relation to geographic, demographic, and clinical factors in a Canadian province from 2000 to 2019.

methodsThis population-based retrospective cohort study included all patients diagnosed with gallbladder cancer (GBC) in Saskatchewan, Canada, from 2000 to 2019. Cox proportional multivariate regression analysis was conducted to identify factors associated with poorer outcomes.

resultsIn total, 331 patients with a median age of 74 years and male-female ratio of 1:2 were identified. Of these patients, 305 (92%) had a pathological diagnosis of GBC. Among patients with documented staging data, 64% had stage IV disease. A total of 217 (66%) patients were rural residents, and 149 (45%) were referred to a cancer center. The multivariate analysis for patients with stage I-III GBC showed that stage III disease [hazard ratio (HR), 2.63; 95% confidence interval (CI), 1.09-6.34)] and urban residence (HR, 2.20; 95% CI, 1.1-4.39) were correlated with inferior disease-free survival. For all patients, stage IV disease (HR, 3.02; 95% CI, 1.85-4.94), no referral to a cancer center (HR, 2.64; 95% CI, 1.51-4.62), lack of surgery (HR, 1.63; 95% CI, 1.03-2.57), a neutrophil-lymphocyte ratio of >3.2 (HR, 1.57; 1.05-2.36), and age of ≥70 years (HR, 1.51; 95% CI, 1.04-2.19) were correlated with inferior overall survival.

conclusionsIn this real-world context, the majority of patients with GBC were diagnosed at a late stage and were not referred to a cancer center. For those with early-stage GBC, living in an urban area and having stage III disease were linked to worse outcomes. Across all stages of GBC, stage IV disease, older age, absence of surgery, lack of referral to a cancer center, and a high neutrophil-to-lymphocyte ratio were associated with poorer survival.

Indexed as

chemotherapygallbladder cancerneutrophil–lymphocyte ratiorural residencestage 4 diseasesurgerysurvival

Identifiers

PMID39272789
PMCPMC11394600

What OpenQuestion holds

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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.