Evidence map›Paper›PMID 39607119›Full record

Observational studyCritical care science2024

Rate of non-metastatic solid tumor progression following critical illness: a prospective cohort study of UK Biobank participants.

Kathryn Puxty, Rachel Keith, Joanne McPeake, David Morrison, Martin Shaw

Abstract readObservational Study
In one paragraph

Observational study in Critical care science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Impact of intensive care unit admission on the resumption of treatment in patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  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

5 authors.

Kathryn PuxtySchool of Medicine, Dentistry and Nursing, University of Glasgow - Glasgow, United Kingdom.ORCID http://orcid.org/0000-0002-5742-6171
Rachel KeithSchool of Medicine, Dentistry and Nursing, University of Glasgow - Glasgow, United Kingdom.
Joanne McPeakeThe Healthcare Improvement Studies Institute, University of Cambridge - Cambridge, United Kingdom.ORCID http://orcid.org/0000-0001-8206-6801
David MorrisonSchool of Health and Wellbeing, University of Glasgow - Glasgow, United Kingdom.ORCID http://orcid.org/0000-0002-0617-3047
Martin ShawSchool of Medicine, Dentistry and Nursing, University of Glasgow - Glasgow, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether admission to critical care is associated with subsequent disease progression in patients with non-metastatic solid tumors.

methodsThis observational cohort study of UK Biobank participants identified those diagnosed with solid tumors and survived hospitalization. Two cohorts were identified based on critical care admission and new metastatic disease as reported at UK Biobank follow-up visits, or primary or secondary care records were compared. Cox proportional hazards analysis was used to account for potential confounders in the multivariate analysis.

resultsA total of 1,854 solid tumor patients were identified, of whom 453 (24.4%) experienced critical care admission. Unadjusted rates of metastatic disease and death were higher for the critical care cohort with lower progression-free survival. At five years, 25% of the critical care survivors and 14% of the hospitalized survivors had developed metastatic disease (p < 0.001), with a corresponding progression-free survival rate of 65% versus 81% (p < 0.001). After adjustment for confounders, the hazard ratio for progression-free survival between critical care survivors and the hospitalized cohort was 1.69 (95%CIs 1.31 - 2.18; p < 0.001).

conclusionSolid tumor patients admitted to the hospital within 2 years of diagnosis had poorer subsequent progression-free survival if they had experienced a critical care admission. This observation was maintained after adjustment for confounding variables.

Indexed as

Critical IllnessDisease ProgressionNeoplasmsAgedBiological Specimen BanksCohort StudiesCritical CareFemaleHospitalizationHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesUK BiobankUnited Kingdom

Identifiers

PMID39607119
PMCPMC11634230

What OpenQuestion holds

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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.