Evidence map›Paper›PMID 41001020›Full record

ArticleFrontiers in oncology2025

Comprehensive prognostic model for immunotherapy in small cell lung cancer: a multi-center study integrating clinical and blood biomarkers.

Qiuqiao Mu, Yuhao Jing, Yun Ding, Jingxian Wang, Han Zhang, Yuhang Jiang, Lin Tan, Jie Zhang, Xin Li, Daqiang Sun

Abstract read
In one paragraph

Article in Frontiers in oncology, 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

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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

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Qiuqiao MuClinical School of Thoracic, Tianjin Medical University, Tianjin, China.
Yuhao JingChest Hospital, Tianjin University, Tianjin, China.
Yun DingDepartment of Thoracic Surgery, Fujian Provincial Hospital Affiliated to Fuzhou University, Fuzhou, Fujian, China.
Jingxian WangDepartment of Cardiology, Yantai Yuhuangding Hospital, Yantai, China.
Han ZhangChest Hospital, Tianjin University, Tianjin, China.
Yuhang JiangChest Hospital, Tianjin University, Tianjin, China.
Lin TanQingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Jie ZhangChest Hospital, Tianjin University, Tianjin, China.
Xin LiDepartment of Thoracic Surgery, Tianjin Chest Hospital, Tianjin, China.
Daqiang SunClinical School of Thoracic, Tianjin Medical University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Small cell lung cancer (SCLC) is a highly aggressive and rapidly progressing form of lung cancer that is difficult to treat. Immunotherapy has provided encouraging outcomes, but only a small proportion of patients experience significant benefit. Predicting which patients will respond to immunotherapy is essential for maximizing treatment effectiveness. Methods: This retrospective analysis included 319 SCLC patients from multiple centers in China who underwent immune checkpoint inhibitor (ICI) therapy. Clinical features and peripheral blood biomarkers were used together to create a prediction system. This system aims to forecast overall survival (OS) and progression-free survival (PFS). Univariate and multivariate Cox regression analyses were used to identify prognostic factors. A nomogram was then constructed to perform risk stratification. The model's performance was evaluated using multiple methods. Time-dependent ROC analysis was applied to assess its predictive accuracy. Decision curve analysis (DCA) was used to determine its clinical utility. Additionally, calibration plots were created to examine the model's consistency with actual outcomes. Results: In SCLC patients, age, brain metastasis, cigarettes per day, lnNSE (Natural Logarithm of Neuron-Specific Enolase), lnAISI (Natural Logarithm of the Aggregate Immune-Inflammatory Index), and lnCLR (Natural Logarithm of the CRP-to-Albumin Ratio) were found to be key factors affecting OS. A nomogram incorporating six variables exhibited excellent discrimination, calibration, and practical utility in both training and validation cohorts. Notably, lnAISI and lnCLR, indicators of systemic immune-inflammation, showed significant predictive value. Conclusion: This study developed a convenient and effective multi-factor survival prediction model based on clinical and hematological markers. The model provides a tool for personalized management of immunotherapy in SCLC patients. It offers new insights and practical evidence for precision treatment in SCLC.

Indexed as

blood biomarkersimmunotherapymulti-center studyprognostic modelsmall cell lung cancer

Identifiers

PMID41001020
PMCPMC12457103

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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.