Evidence map›Paper›PMID 41006448›Full record

ArticleScientific reports2025

Combined albumin and CEA improve prognostic prediction in resectable gastric cancer.

Jie Li, Haozong Zhao, Qianshi Zhang, Shuangyi Ren

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 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

4 authors.

Jie LiDepartment of General Surgery, Shenzhen University General Hospital, Shenzhen, 518055, Guangdong, People's Republic of China.
Haozong ZhaoDepartment of General Surgery, Hongqi Hospital Affiliated to Mudanjiang Medical University, Mudanjiang, 157009, Heilongjiang Province, People's Republic of China.
Qianshi Zhang *Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116023, Liaoning, People's Republic of China. zhangqianshi1987@qq.com.
Shuangyi Ren *Department of Gastrointestinal Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, 116023, Liaoning, People's Republic of China. renshuangyidl@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Preoperative high levels of serum carcinoembryonic antigen (CEA) and low levels of albumin (ALB) are closely related to poor prognosis among patients with gastric cancer. This study aims to determine the prognostic value of preoperative serum ALB plus CEA levels as a new biomarker in patients with resectable gastric cancer. This retrospective cohort study included 329 patients with gastric cancer. The optimal cutoff values of ALB and CEA were 4.77 ng/mL and 41.47 g/L, respectively. Patients were stratified into three groups based on these cutoff values: ALB-CEA = 0 (ALB > 41.47 g/L and CEA ≤ 4.77 ng/mL), ALB-CEA = 1 (ALB ≤ 41.47 g/L or CEA > 4.77 ng/mL), and ALB-CEA = 2 (ALB ≤ 41.47 g/L and CEA > 4.77 ng/mL). Kaplan-Meier curve and Cox proportional model were used to determine the predictive effect of the biomarker on the overall survival of patients in the training and validation sets. ALB-CEA had a larger area under the curve than ALB or CEA alone (0.703, 0.671, 0.635 in the validation set; 0.776, 0.694, 0.616 in the validation set respectively). The Kaplan-Meier curve revealed that higher ALB-CEA scores were indicative of lower survival rates (p < 0.001). Additionally, the multivariate analysis revealed that ALB-CEA was an independent risk factor for poor prognosis in patients with gastric cancer (p < 0.05). Preoperative ALB-CEA may be a new biomarker for predicting the prognosis of patients with gastric cancer. For those patients with higher preoperative ALB-CEA scores, more extensive postoperative follow-up should be performed to detect tumor progression early and intervene in time.

Indexed as

Biomarkers, TumorCarcinoembryonic AntigenSerum AlbuminStomach NeoplasmsAdultAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRetrospective StudiesBiomarkers, TumorCarcinoembryonic AntigenSerum AlbuminAlbuminCEAGastric cancerPostoperative mortality

Identifiers

PMID41006448
PMCPMC12474952

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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.