Evidence map›Paper›PMID 41074216›Full record

SynthesisSystematic reviews2025

Prognostic value of the pretreatment Naples prognostic score in gastrointestinal cancer patients: an updated meta-analysis with 28 studies.

Huayang Pang, Fengsheng Dai, Lihui Chen, Menghua Yan, Zhou Zhao, Hao Sun

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Systematic reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Huayang Pang *Department of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Fengsheng Dai *Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Lihui ChenDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Menghua YanDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Zhou ZhaoDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China. zhaozhou_med@163.com.
Hao SunDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China. sunhao_med@cqu.edu.cn.

Funding

Natural Science Foundation of Chongqing, China CSTB2024NSCQ-MSX0514Research Institutions Performance Incentive Guidance Special Fund cstc2022jxjl0234
6 · The paper itself

Abstract

backgroundThe Naples prognostic score (NPS) has been extensively documented as a promising prognostic biomarker in various malignancies. The objective of this study is to systematically investigate the correlation between the pretreatment NPS and survival outcomes in patients with gastrointestinal (GI) cancer.

methodsThis meta-analysis was prospectively registered with PROSPERO (CRD42024567576). We conducted a systematic literature search using electronic databases, including Web of Science, PubMed, and Embase, from inception until July 1st, 2024. The primary endpoints assessed were long-term survival outcomes. Pooled hazard ratios (HR) with corresponding 95% confidence intervals (CI) were calculated using a random-effects model during the pooled analysis. Additionally, prediction intervals (PI) were generated to capture the variability of the pooled effect across different study settings.

resultsA total of 28 studies, including 10,874 patients with GI cancer, were included in this meta-analysis. The results unequivocally demonstrated a significant association between elevated NPS and worse OS, bolstered by the robust PIs. Moreover, the elevated NPS was found to be significantly related to poor DFS, while the evidence remained uncertain due to heterogeneous PIs. Additionally, findings from a single study suggested that a high NPS may be associated with poor CSS.

conclusionOur evidence suggests that the pretreatment NPS could be a valuable prognostic biomarker in GI cancer patients, particularly for OS. This information can be utilized by clinicians to stratify patients and develop personalized treatment plans.

Indexed as

Biomarkers, TumorGastrointestinal NeoplasmsHumansPrognosisBiomarkers, TumorGastrointestinal CancerMeta-analysisNaples prognostic scoreSurvival outcomes

Identifiers

PMID41074216
PMCPMC12512894

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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.