Evidence map›Paper›PMID 39976660›Full record

ArticleWorld journal of urology2025

The advanced lung cancer inflammation index as a useful prognostic indicator for patients who underwent radical nephroureterectomy for upper tract urothelial carcinoma.

Tomoya Hatayama, Keisuke Goto, Yuki Kohada, Kensuke Nishida, Takeshi Ueno, Tomoki Furutani, Kunihiro Hashimoto, Kenshiro Takemoto, Miki Naito, Shunsuke Miyamoto and 6 more

Abstract read
In one paragraph

Article in World journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Tomoya HatayamaDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.ORCID https://orcid.org/0000-0002-1953-3240
Keisuke GotoDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan. keigoto@hiroshima-u.ac.jp.ORCID https://orcid.org/0000-0002-3580-1401
Yuki KohadaDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Kensuke NishidaDepartment of Urology, NHO Higashihiroshima Medical Center, Hiroshima, Japan.
Takeshi UenoDepartment of Urology, JA Hiroshima General Hospital, Hiroshima, Japan.
Tomoki FurutaniDepartment of Urology, NHO Kure Medical Center Chugoku Cancer Center, Hiroshima, Japan.
Kunihiro HashimotoDepartment of Urology, JR Hiroshima Hospital, Hiroshima, Japan.
Kenshiro TakemotoDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Miki NaitoDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Shunsuke MiyamotoDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Kohei KobatakeDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Yohei SekinoDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Hiroyuki KitanoDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Akihiro GorikiDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Keisuke HiedaDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.
Nobuyuki HinataDepartment of Urology, Hiroshima University Graduate School of Biomedical and Health Sciences, 1-2-3 Kasumi, Minamiku, Hiroshima, 734-8551, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate the ability of the advanced lung cancer inflammation index (ALI) to predict the prognosis of patients who underwent radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC). We also aimed to compare the ALI with other inflammatory or nutritional indices as prognostic indicators.

methodsWe retrospectively evaluated patients who underwent RNU for UTUC at multiple centers between January 2010 and April 2024. We calculated the ALI before RNU and divided the patients into the low ALI and high ALI groups. We used 1:1 propensity score matching (PSM) to adjust the clinicopathological differences between two groups. We compared the overall survival (OS) and recurrence-free survival (RFS) of the low and high ALI groups using the Kaplan-Meier method. Furthermore, we assessed the ALI as a predictor of OS and RFS using a multivariate Cox proportional hazards regression analysis.

resultsOf 488 patients (48.3% low ALI group), 160 patients from each group were matched. The Kaplan-Meier analysis revealed that the OS (p = 0.009) and RFS (p = 0.006) of the low ALI group were significantly shorter than those of the high ALI group. According to a multivariate analysis that included clinicopathological prognostic indicators, a low ALI was an independent predictor of poor OS (p = 0.014) and RFS (p = 0.038). Furthermore, according to the multivariate analysis including other inflammatory or nutritional indices, the ALI was an independent predictor of poor OS (p = 0.024) and RFS (p = 0.044).

conclusionsThe ALI was a significantly useful prognostic predictors of patients with UTUC who underwent RNU.

Indexed as

Carcinoma, Transitional CellKidney NeoplasmsLung NeoplasmsNephroureterectomyUreteral NeoplasmsAgedFemaleHumansInflammationMaleMiddle AgedPrognosisRetrospective StudiesInflammatoryNutritionPrognostic indicatorRadical nephroureterectomyUpper urinary tract carcinoma

Identifiers

PMID39976660
PMCPMC11842494

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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.