Evidence map›Paper›PMID 39639229›Full record

ArticleBMC cancer2024

Negative association of C-reactive protein-albumin-lymphocyte index (CALLY index) with all-cause and cause-specific mortality in patients with cancer: results from NHANES 1999-2018.

Di Zhu, Ye-Ding Lin, Yan-Zhu Yao, Xiang-Jun Qi, Kai Qian, Li-Zhu Lin

Registry-linked trialAbstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06952647 (Hematological and Metabolic Markers in Carpal Tunnel Syndrome), which is not on this map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 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.

NCT06952647 completednot on this mapstarted 2025, after this paper: background citation

Hematological and Metabolic Markers in Carpal Tunnel Syndrome

TypeobservationalSponsorAnkara Training and Research HospitalRan2025 to 2026Enrolled197ConditionsCarpal Tunnel Syndrome (CTS), Biomarkers / Blood
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  11. Whole-brain radiotherapy with simultaneous integrated boost in treatment of patients with brain metastases: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 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

6 authors.

Di ZhuGuangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Ye-Ding LinGuangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yan-Zhu YaoGuangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Xiang-Jun QiGuangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Kai QianShenzhen Bao'an Chinese Medicine Hospital, Shenzhen, Guangdong, China.
Li-Zhu LinThe First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China. gzucmlinlz@163.com.

Funding

Guangdong Provincial Department of Science and Technology 2022B1515230003Guangzhou Municipal Science and Technology Bureau SL2022B01J10007Ministry of Science and Technology of the People's Republic of China 2022YFC3500203
6 · The paper itself

Abstract

backgroundThe CALLY index, which is derived from C-reactive protein (CRP) content, serum albumin level, and total lymphocyte count, reflects the immune, nutritional, and inflammatory status of the body. Lack of sufficient evidence on the correlation between the CALLY index and the prognosis of cancer patients with various cancer forms. This study seeks to elucidate the association between the CALLY index and mortality from all causes as well as specific causes in cancer patients within a U.S. POPULATION:

methodsThis investigation encompassed 3511 cancer-afflicted adults from the National Health and Nutritional Examination Surveys (NHANES) spanning 1999 to 2018. The CALLY index was measured at baseline only. The relationship between the CALLY index and mortality from both all causes and cancer specifically was examined using Cox proportional hazards models. Additionally, restricted cubic spline, piecewise linear regression, and various subgroup and sensitivity analyses were employed.

resultsOver a median follow-up of 103 months, 1,355 deaths occurred, and the incidence of all-cause mortality for these participants was 38.34%. Our findings indicate that an elevated CALLY index correlates with a diminished risk of all-cause mortality. Upon applying a natural logarithmic transformation to the CALLY index, the comprehensively adjusted model revealed that each one-unit increment in ln CALLY corresponded to a 18% decrease in all-cause mortality risk among cancer patients (HR = 0.82, 95% CI:0.79-0.86). Analyses of mortality due to cardiac and cancer-related causes yielded consistent results, which were robust across various subgroup and sensitivity analyses.

conclusionThe CALLY index demonstrated a linear and negative association with all-cause mortality, as well as mortality caused by cancer and cardiac conditions, highlighting its significant prognostic value in patients with oncological conditions.

Indexed as

C-Reactive ProteinNeoplasmsNutrition SurveysAdultAgedCause of DeathFemaleHumansLymphocyte CountLymphocytesMaleMiddle AgedPrognosisProportional Hazards ModelsSerum AlbuminUnited StatesC-Reactive ProteinSerum AlbuminCALLY indexCancerNHANESPopulation-based studyRetrospective study

Identifiers

PMID39639229
PMCPMC11619214

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Registered trials

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.