Evidence map›Paper›PMID 39433560›Full record

SynthesisScientific reports2024

Prognostic value of pre-treatment neutrophil-to-lymphocyte ratio in patients with brain metastasis from cancer: a meta-analysis.

Ke Zhou, Jun Wan, Yile Li, Yi Yuan, Qian Liu, Huixuan Li, Xinyi Jiang, Xiang Yuan, Sen Zhang, Yu Zhang

Erratum issuedAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Ke Zhou *Center for Evidence-Based Medicine, Clinical Research Center, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Jun Wan *Clinical Medical College & Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Yile LiSchool of Preclinical Medicine / School of Nursing, Chengdu University, Chengdu, Sichuan, China.
Yi YuanSchool of Preclinical Medicine / School of Nursing, Chengdu University, Chengdu, Sichuan, China.
Qian LiuClinical Medical College & Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Huixuan LiClinical Medical College & Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Xinyi JiangClinical Medical College & Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Xiang YuanClinical Medical College & Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Sen ZhangClinical Medical College & Affiliated Hospital of Chengdu University, Chengdu University, Chengdu, China.
Yu ZhangCenter for Evidence-Based Medicine, Clinical Research Center, Affiliated Hospital of Chengdu University, Chengdu, Sichuan, China. zhangyu1057@cdu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Evidence shows that inflammatory responses play an essential role in the development of brain metastases (BM). The goal of this meta-analysis was to critically evaluate the literature regarding the use of the neutrophil to lymphocyte ratio (NLR) to predict the prognosis of patients with BM to help clinicians institute early interventions and improve outcomes. We conducted systematic review and meta-analysis, utilizing data from prominent databases, including PubMed, Cochrane Library and China National Knowledge Infrastructure databases. Our inclusion criteria encompassed studies investigating the studies that assessed the association between NLR and overall survival (OS). We included 11 articles, with 2629 eligible patients, to evaluate the association between NLR and OS. High NLR was significantly associated with shorter OS, with a pooled hazard ratio (HR) of 1.82 (95% CI 1.57-2.11). Subgroup analysis revealed that this association was consistent across different regions, with HRs of 2.03 (95% CI 1.67-2.46) in Asian populations and 1.58 (95% CI 1.35-1.84) in non-Asian populations. Additionally, in a subgroup analysis based on NLR cut-off values, patients with NLR ≥ 3 had an HR of 1.69 (95% CI 1.46-1.96), while those with NLR < 3 had an HR of 2.26 (95% CI 1.64-3.11). Sensitivity analysis confirmed that no single study significantly influenced the pooled effect size. Our meta-analysis confirmed the prognostic value of NLR in patients with brain metastasis.

Indexed as

Brain NeoplasmsLymphocytesNeutrophilsHumansLymphocyte CountPrognosisBrain metastasisMeta-analysisNLR

Identifiers

PMID39433560
PMCPMC11494139

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.