Evidence map›Paper›PMID 40510137›Full record

ArticleFrontiers in oncology2025

Enhanced coagulation index: a potent prognostic indicator for clinical outcomes in non-metastatic breast cancer following surgery and adjuvant therapy.

Bolin Lu, Ji Wu, Mu Yuan, Xuxu Zhang, Xing Qiu, Jianyin Bai, Ming Yao, Sainan You, Shanshan Wang, Linlin Zhen

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Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Bolin LuThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Ji WuThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Mu YuanThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Xuxu ZhangThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Xing QiuThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Jianyin BaiThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Ming YaoThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Sainan YouThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Shanshan WangThe Affiliated Suqian Hospital of Xuzhou Medical University, Suqian, China.
Linlin ZhenThe Huaian Clinical College of Xuzhou Medical University, Huaian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A significant number of studies have demonstrated a correlation between the prognosis of patients with malignant tumors and a single coagulation marker. However, relatively few studies have examined the correlation between complex coagulation markers. The purpose of this study was to investigate the relationship between the level of complex coagulation markers and nonmetastatic breast cancer patients' clinical outcomes after receiving comprehensive treatment. Methods: This retrospective cohort study analyzed the information breast cancer patients treated between January 2016 and December 2018 at the affiliated Suqian hospital of Xuzhou Medical University. Subject-working characteristic curves were used to determine the area under the curve. Multivariate Cox regression models were used to adjust for potential confounders and to assess independent associations between biochemical markers and survival outcomes. Results: Of the 264 patients with a median age of 48 years, 33 (12.5%) patients experienced a survival event. The X-TILE analysis shows that the best cut-off value for APTT/TT is 1.4, and the 5-year Disease-free survival (DFS) for high APTT/TT (≥1.4) is more limited. The receiver operating characteristic curve decided the APTT/TT performance (AUC=0.685, 95%CI 0.602-0.768). Multivariate Cox regression models showed that increased APTT/TT (HR=4.057, p=0.032) and more lymph node metastases (HR=2.324, p<0.001) were independent prognostic factors for DFS. Conclusions: This study indicated a pivotal role of the APTT/TT ratio in forecasting the prognosis of breast cancer patients following comprehensive treatment. The findings underscore the utility of integrating coagulation markers, alongside traditional clinicopathological indices, to enhance prognostic assessments in clinical practice.

Indexed as

APTT/TT indexbreast cancerdisease-free survivalprognosistreatment

Identifiers

PMID40510137
PMCPMC12159004

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