Evidence map›Paper›PMID 39502622›Full record

ArticleCancer diagnosis & prognosis

C-reactive Protein-albumin-lymphocyte Index as a Novel Biomarker for Progression in Patients Undergoing Surgery for Renal Cancer.

Hiroshi Hirata, Nakanori Fujii, Shintaro Oka, Kimihiko Nakamura, Kosuke Shimizu, Keita Kobayashi, Toshiya Hiroyoshi, Naohito Isoyama, Koji Shiraishi

Abstract read
In one paragraph

Article in Cancer diagnosis & prognosis. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. C-reactive protein-albumin-lymphocyte index predicts biochemical recurrence in prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 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.

Hiroshi HirataDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Nakanori FujiiDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Shintaro OkaDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Kimihiko NakamuraDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Kosuke ShimizuDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Keita KobayashiDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Toshiya HiroyoshiDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Naohito IsoyamaDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.
Koji ShiraishiDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Yamaguchi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aim: Some patients with renal cell carcinoma (RCC) develop early or late recurrence after surgery. However, there is no clear consensus on which patients with postoperative RCC should be treated. This study aimed to establish a biomarker for selecting patients who are at a higher risk of relapse following renal cancer surgery. Patients and Methods: A total of 378 patients who underwent nephrectomy or partial nephrectomy for a diagnosis of RCC at our hospital were included, with a focus on pT3 cases at high risk of recurrence. Factors associated with postoperative progression, including pathological and hematological parameters, were examined. Results: Sarcomatoid features, Fuhrman grade 4, and C-reactive protein-albumin-lymphocyte (CALLY) index were statistically significant predictive factors for progression-free survival after surgery (p<0.0011, p=0.0047, and p<0.0001, respectively). In the multivariate Cox proportional regression analysis, the CALLY index was the most statistically significant predictor of the risk of postoperative recurrence (p=0.0002). Conclusion: In addition to the existing risk factors for RCC recurrence, such as sarcomatoid features and Fuhrman grade, we propose that the CALLY index is a predictor of postoperative recurrence and that patients with a low CALLY index are good candidates for postoperative treatment. Our study may help select patients with pT3 disease with a high risk of recurrence who require postoperative treatment.

Indexed as

CALLY indexclear cell renal cell carcinomaprogression-free survivalT3

Identifiers

PMID39502622
PMCPMC11534045

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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.