Evidence map›Paper›PMID 39453478›Full record

Observational studyAnnals of hematology2024

Non-linear relationship between soluble interleukin-2 receptor and prognosis of diffuse large B-cell lymphoma.

Hikaru Tsukasaki, Kei Fujita, Shin Lee, Tetsuji Morishita, Kana Oiwa, Eiju Negoro, Takeshi Hara, Hisashi Tsurumi, Takanori Ueda, Takahiro Yamauchi

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Annals of hematology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Hikaru TsukasakiDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Kei FujitaDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Shin LeeDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan. leesin.581020@gmail.com.
Tetsuji MorishitaDepartment of Hematology and Oncology, Matsunami General Hospital, 185-1 Kasamatsu-cho, Hashima-gun, Gifu, 501-6062, Japan.
Kana OiwaDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Eiju NegoroDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Takeshi HaraDepartment of Hematology and Oncology, Matsunami General Hospital, 185-1 Kasamatsu-cho, Hashima-gun, Gifu, 501-6062, Japan.
Hisashi TsurumiDepartment of Hematology and Oncology, Matsunami General Hospital, 185-1 Kasamatsu-cho, Hashima-gun, Gifu, 501-6062, Japan.
Takanori UedaDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Takahiro YamauchiDepartment of Hematology and Oncology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite an emphasis on the prognostic impact of serum soluble interleukin-2 receptor (sIL-2R) at diagnosis in patients with diffuse large B-cell lymphoma (DLBCL), whether the prognostic impact of elevated sIL-2R is linear remains unclear. To verify the presence of a non-linear association between sIL-2R level at diagnosis and overall survival (OS) in patients with newly diagnosed DLBCL, we conducted a multi-center, observational retrospective study. Among 488 analyzable patients, Cox proportional hazards modeling identified serum sIL-2R level at diagnosis as an independent predictor of OS. Multivariate Cox hazard modeling with restricted cubic spline model demonstrated that the relationship between serum sIL-2R level and OS was clearly non-linear (P for effect of sIL-2R = 0.002; P for non-linearity = 0.015). Mortality risk increased gradually as sIL-2R levels increased and plateaued at approximately 5,000 U/mL. Segmented regression analysis revealed that the trend in negative prognostic impact from a gradual increase in serum sIL-2R level changed significantly, with a breakpoint at approximately 2,000 U/mL. Multivariate receiver operating characteristic curves showed a significant improvement in prediction ability when serum sIL-2R level was added to the International Prognostic Index (IPI). Serum sIL-2R level at diagnosis was not only a prognostic factor, but also improved predictive accuracy for OS when incorporated with the IPI. However, the negative correlation between increasing sIL-2R and prognosis was non-linear.

Indexed as

Lymphoma, Large B-Cell, DiffuseReceptors, Interleukin-2AdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsRetrospective StudiesYoung AdultReceptors, Interleukin-2Diffuse large B-cell lymphomaInternational Prognostic IndexRestricted cubic splineSegment regression modelSoluble interleukin-2 receptor

Identifiers

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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.