Evidence map›Paper›PMID 41028061›Full record

ArticleScientific reports2025

Prognostic value of systemic inflammation markers in early stage non-small cell lung cancer.

Tevfik Ilker Akcam, Ahmet Kayahan Tekneci, Kutsal Turhan, Salih Duman, Seyhmus Cuhatutar, Berker Ozkan, Erkan Kaba, Muzaffer Metin, Levent Cansever, Celal Bugra Sezen and 8 more

Abstract readMulticenter Study
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

18 authors.

Tevfik Ilker AkcamDepartment of Thoracic Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
Ahmet Kayahan TekneciDepartment of Thoracic Surgery, Ege University Faculty of Medicine, İzmir, Turkey. ahmetkayahantekneci@gmail.com.
Kutsal TurhanDepartment of Thoracic Surgery, Ege University Faculty of Medicine, İzmir, Turkey.
Salih DumanDepartment of Thoracic Surgery, İstanbul University İstanbul Medical Faculty Hospital, İstanbul, Turkey.
Seyhmus CuhatutarDepartment of Thoracic Surgery, İstanbul University İstanbul Medical Faculty Hospital, İstanbul, Turkey.
Berker OzkanDepartment of Thoracic Surgery, İstanbul University İstanbul Medical Faculty Hospital, İstanbul, Turkey.
Erkan KabaDepartment of Thoracic Surgery, Florence Nightingale Hospitals, İstanbul, Turkey.
Muzaffer MetinDepartment of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery, Training and Research Hospital, İstanbul, Turkey.
Levent CanseverDepartment of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery, Training and Research Hospital, İstanbul, Turkey.
Celal Bugra SezenDepartment of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery, Training and Research Hospital, İstanbul, Turkey.
Kenan Can CeylanDepartment of Thoracic Surgery, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey.
Necati CitakDepartment of Thoracic Surgery, Dr. Suat Seren Chest Diseases and Thoracic Surgery Training and Research Hospital, İzmir, Turkey.
Ozgur SamancilarThoracic Surgery Clinics, İzmir Medicana International Hospital, İzmir, Turkey.
Basak GorusunDepartment of Thoracic Surgery, Uludağ University Faculty of Medicine Hospital, Bursa, Turkey.
Ahmet Sami BayramDepartment of Thoracic Surgery, Uludağ University Faculty of Medicine Hospital, Bursa, Turkey.
Ebru SezerDepartment of Medical Biochemistry, Ege University, İzmir, Turkey.
Alper TokerDepartment of Cardiovascular and Thoracic Surgery, Heart and Vascular Institute, West Virginia University, Morgantown, WV, USA.
Ilgaz DogusoyThoracic Surgery Clinic, Acıbadem University, İstanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present study investigates the prognostic significance of systemic inflammation markers in patients with early-stage non-small cell lung cancer (NSCLC), who underwent surgical treatment. We retrospectively analyzed data from 2,159 patients, who underwent lung resection for stage I-IIA NSCLC in nine centers between the years 2010 and 2022. In order to compare survival, we grouped the patients by preoperative neutrophil-to-lymphocyte ratio (NLR), lymphocyte-to-monocyte ratio (LMR), platelet-to-lymphocyte ratio (PLR), and pan-immune inflammation value (PIV). The mean overall survival (OS) was significantly shorter in patients with high NLR (102.7 vs. 109.4 months, p = 0.040). A low LMR was associated with worse OS (101 vs. 110.3 months, p < 0.001) and worse disease-free survival (DFS) (100.2 vs. 108.6 months, p = 0.020). A high PLR was a poor prognostic factor for both OS (104.1 vs. 110.1 months, p = 0.017) and DFS (102.5 vs. 108.7 months, p = 0.021). A high PIV was associated with worse DFS (101.2 vs. 109.8 months, p = 0.003). Patients with high PIV had longer time to chest tube removal (6.9 vs. 6.7 days, p = 0.049) and longer hospital stays (8.6 vs. 8.2 days, p < 0.001). Complication rates were higher in patients with lower LMR (33.8% vs. 29.4%, p = 0.028) and higher PLR (38.1% vs. 33.1%, p = 0.016). In our multicenter study, OS was worse in patients with high PLR, high NLR, and low LMR. DFS was worse in patients with high PIV, high PLR, and low LMR. NLR, LMR, PLR, and PIV were associated with OS and DFS in early-stage NSCLC, but none of the circulating inflammatory markers proved to be statistically significant in the multivariate analysis.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungInflammationLung NeoplasmsAdultAgedBlood PlateletsDisease-Free SurvivalFemaleHumansLymphocytesMaleMiddle AgedMonocytesNeoplasm StagingNeutrophilsBiomarkers, TumorEarly-stage NSCLCLung cancerPrognosisSystemic inflammation

Identifiers

PMID41028061
PMCPMC12484583

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.