Evidence map›Paper›PMID 40836295›Full record

ArticleBMC cancer2025

Prognostic utility of the C-reactive protein-albumin-lymphocyte (CALLY) index in metastatic renal cell carcinoma.

Güner Akgüner, Mustafa Altınbaş

Abstract readMulticenter Study
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

2 authors.

Güner AkgünerDepartment of Medical Oncology, Etlik City Hospital, Ankara, Turkey. gunerakguner@yahoo.com.ORCID http://orcid.org/0000-0001-6400-317X
Mustafa AltınbaşDepartment of Medical Oncology, Etlik City Hospital, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe CALLY index has been recognized as a prognostic biomarker across various malignancies; however, its prognostic utility in metastatic renal cell carcinoma (mRCC) has not been extensively characterized. This study aimed to elucidate the prognostic significance of the C-reactive protein-albumin-lymphocyte (CALLY) index in patients diagnosed with mRCC.

methodsIn this retrospective multicenter study, patients with metastatic renal cell carcinoma were included. Demographic and disease-related data were collected. The CALLY index was calculated as follows: serum albumin level (g/dL) × absolute lymphocyte count (cells/µL)/C-reactive protein (CRP) (mg/dL) × 10

resultsA total of 95 patients were included in the present study. The prognostic cut-off value for the CALLY index was determined as 0.12. The median overall survival (OS) was 11.1 months (95% CI 6.7-15.4) in the CALLY index < 0.12 group, compared to 45.7 months (95% CI 31.6-59.8) in the CALLY index ≥ 0.12 group (p < 0.001). Similarly, the median progression-free survival (PFS) was 7.1 months (95% CI 4.5-13.2) in the CALLY index < 0.12 group and 33.1 months (95% CI 17.2-48.1) in the CALLY index ≥ 0.12 group (p < 0.001). In Cox regression analysis, a CALLY index < 0.12 was identified as an independent prognostic factor for shorter OS (HR: 0.41, 95% CI 0.22-0.76, p = 0.004) and PFS (HR: 0.40, 95% CI 0.23-0.69, p = 0.001).

conclusionThe CALLY index was identified as an independent prognostic biomarker in metastatic renal cell carcinoma. Prospective large-scale studies are needed to confirm its clinical utility.

Indexed as

Biomarkers, TumorCarcinoma, Renal CellC-Reactive ProteinKidney NeoplasmsLymphocytesSerum AlbuminAdultAgedAged, 80 and overFemaleHumansLymphocyte CountMaleMiddle AgedNeoplasm MetastasisPrognosisBiomarkers, TumorC-Reactive ProteinSerum AlbuminAlbuminCALLY indexCRPLymphocytePrognosticRenal cell carcinoma

Identifiers

PMID40836295
PMCPMC12369225

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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.