Evidence map›Paper›PMID 40033197›Full record

Observational studyBMC gastroenterology2025

Diagnostic value of peripheral blood inflammatory indices for clinicopathological profile of colorectal cancer: a retrospective observational study.

Mohammad Rezazadeh, Amirreza Kamyabi, Ramtin Ghamkhari Pisheh, Sahar Noroozie, Bahareh Shateri Amiri, Alireza Negahi, Hanieh Radkhah

Abstract readObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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

7 authors.

Mohammad RezazadehStudent Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran. Mohammad.r.g1381@gmail.com.
Amirreza KamyabiStudent Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Ramtin Ghamkhari PishehStudent Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Sahar NoroozieStudent Research Committee, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Bahareh Shateri AmiriDepartment of Internal Medicine, School of Medicine, Hazrat-E Rasool General Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran. Shateri.bahareh@yahoo.com.
Alireza NegahiBreast Cancer Research Center, Iran University of Medical Sciences, Tehran, Iran.
Hanieh RadkhahInternal Medicine Department, School of Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) ranks as the third most prevalent cancer globally and the second leading cause of cancer-related mortality. This study investigates the diagnostic value of peripheral blood inflammatory indices, including the Cancer-Inflammation Prognostic Index (CIPI), Systemic Inflammation Response Index (SIRI), Hemoglobin-Albumin-Lymphocyte-Platelet (HALP) index, Neutrophil-to-Lymphocyte Ratio (NLR), and Platelet-to-Lymphocyte Ratio (PLR), in the early diagnosis of clinicopathological characteristics of CRC.

methodThis retrospective observational study involved 224 patients with CRC aged over 45, admitted to Rasoul-Akram Hospital from September 2019 to 2023, undergoing elective CRC surgery. Key demographic and clinicopathological data were collected alongside blood samples to derive inflammatory indices. Univariate and multivariate analyses were applied to determine metastasis and stage predictors. A receiver operating characteristic (ROC) analysis was performed to evaluate the SIRI diagnostic value in differentiating tumors with and without metastasis and the CIPI diagnostic value in differentiating tumors with high and low stage.

resultsThe study identified a significant association between elevated SIRI levels and metastasis in univariate analysis (OR = 2.79, CI = 1.12-6.94). Multivariate analysis shows CIPI is associated with advanced tumor stages (OR = 1.97, CI = 1.14-3.38). According to the ROC curve, the optimal cut-off value of SIRI and CIPI was 1.376 (sensitivity 52.6%, specificity 60.8%, AUC = 61.5%) for diagnosing the metastasis and 7.114 (sensitivity 59.8%, specificity 57%, AUC = 57.9%) for diagnosing the tumor stage, respectively. DISCUSSION: The findings show that a higher SIRI value is associated with a higher chance of metastasis and a higher CIPI value is associated with a higher chance of advanced stages. Furthermore, the study advocates for the integration of these inflammatory indices into clinical practice to facilitate personalized treatment strategies and early diagnosis, enhancing the prognosis and survival in CRC.

Indexed as

Colorectal NeoplasmsInflammationAgedAged, 80 and overFemaleHemoglobinsHumansLymphocyte CountLymphocytesMaleMiddle AgedNeoplasm StagingNeutrophilsPlatelet CountPrognosisRetrospective StudiesHemoglobinsCancer inflammation diagnostic indicesColorectal cancerCombined immune prognostic indexPeripheral blood inflammatory indicesTumor biomarkers

Identifiers

PMID40033197
PMCPMC11874807

What OpenQuestion holds

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Registered trials

None linked

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.