Evidence map›Paper›PMID 40730677›Full record

ArticleScientific reports2025

Preoperative albumin-to-fibrinogen ratio as a predictor of postoperative hospital stay in locally advanced esophageal squamous cell carcinoma after neoadjuvant therapy.

Hao Chen, Xuan Huang, Yipeng Chen, Weiming Chen, Xin Yan, Chun Chen, Bin Zheng, Haitang Lin, Hanliang Zhang, Chunyu Zhou and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Observational
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

12 authors.

Hao ChenDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Xuan HuangDepartment of Cardiology, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University, Fuzhou University Affiliated Provincial Hospital, Fuzhou, China.
Yipeng ChenDepartment of Second Surgery, Zhangpu County Hospital, Zhangzhou, China.
Weiming ChenDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Xin YanDepartment of Cardiac Medical Center Nursing, Fujian Medical University Union Hospital, Fuzhou, China.
Chun ChenDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Bin ZhengDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Haitang LinDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Hanliang ZhangDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Chunyu ZhouDepartment of Surgical Nursing, Fujian Medical University Union Hospital, Fuzhou, China.
Chi XuDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China. 10587951@qq.com.
Zhang YangDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China. zhangyang@fjmu.edu.cn.ORCID http://orcid.org/0000-0001-8592-5800

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Esophageal squamous cell carcinoma (ESCC) is a major global health issue, with postoperative hospital length of stay (LOS) being a critical factor influencing patient outcomes and healthcare costs. This study evaluates the impact of preoperative albumin-to-fibrinogen ratio (AFR) and albumin-to-D-II aggregates ratio (ADR) on LOS in patients with locally advanced ESCC undergoing neoadjuvant therapy. A retrospective study of 135 patients with locally advanced ESCC who underwent esophagectomy after neoadjuvant therapy (July 2013-November 2020). Demographic, clinical, and preoperative blood data were analyzed. LOS was defined from surgery to discharge. AFR and ADR values were calculated, and ROC curves identified optimal cutoffs. Multivariate Cox proportional hazards models and Kaplan-Meier analysis were used to assess relationships between AFR and LOS. The optimal AFR cutoff was 10.34, demonstrating better predictive accuracy for LOS than ADR. High AFR was associated with significantly shorter LOS. Multivariate analysis revealed high AFR, and cholesterol were linked to shorter stays, while older age and high globulin levels were associated with longer stays. Kaplan-Meier analysis confirmed the relationship. Preoperative AFR is a reliable predictor of LOS in advanced ESCC patients after neoadjuvant therapy, offering potential for improved clinical management and resource allocation.

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaFibrinogenLength of StaySerum AlbuminAdultAgedEsophagectomyFemaleHumansKaplan-Meier EstimateMaleMiddle AgedNeoadjuvant TherapyPreoperative PeriodRetrospective StudiesFibrinogenSerum AlbuminAlbumin-to-fibrinogen ratioEsophageal squamous cell carcinomaLength of stayNeoadjuvant therapyPreoperative predictors

Identifiers

PMID40730677
PMCPMC12307904

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