Evidence map›Paper›PMID 41272609›Full record

SynthesisBMC women's health2025

Prognostic value of lymphocyte-to-monocyte ratio for breast cancer: a systematic review and meta-analysis.

Linying Zhu, Jinfang Qiao, Changnian Yang, Xiaoyi Ruan, Shanshan Wu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC women's health, 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

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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

5 authors.

Linying Zhu *School of Obstetrics and Pediatrics, Guangdong Medical University, Zhanjiang, Guangdong, China.
Jinfang Qiao *Surgical Department, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China.
Changnian YangThe First School of Clinical Medicine, Guangdong Medical University, Zhanjiang, Guangdong, China.ORCID 0000-0002-1316-9134
Xiaoyi RuanThe First School of Clinical Medicine, Guangdong Medical University, Zhanjiang, Guangdong, China.
Shanshan WuDepartment of Biology, School of Basic Medical Sciences, Guangdong Medical University, Zhanjiang, Guangdong, China. wushsh@gdmu.edu.cn.

Funding

PhD researchers of Guangdong Medical University in 2020 GDMU2020018
6 · The paper itself

Abstract

backgroundThe incidence of breast cancer has been ascending. The lymphocyte-to-monocyte ratio (LMR) has been reported as a prognostic factor for breast cancer. This meta-analysis aimed to assess the predictive significance of LMR in breast cancer.

methodPubMed, Embase, Cochrane, and Web of Science were searched for relevant articles on the predictive significance of LMR in breast cancer up to May 2024. The hazard ratio (HR) of overall survival (OS), disease-free survival (DFS), recurrence-free survival (RFS), and distant metastasis-free survival (DMFS) was calculated using fixed-effects or random-effects models. The LMR threshold and follow-up information were extracted, and subgroup analyses were performed.

resultTwenty-two studies were included in the meta-analysis. LMR accurately predicted OS, DFS, and RFS in breast cancer (p < 0.05), with high LMR associated with improved outcomes. However, the association between higher LMR and longer DMFS in breast cancer was uncertain. LMR's predictive value for OS and DFS remained significant in different regions, sample size, LMR threshold, follow-up, and timing. The predictive effect of LMR were different in different molecular subtypes of breast cancer.

conclusionThis meta-analysis identified the prognostic value of LMR for OS and DFS in breast cancer. However, selection bias existed due to the predominance of retrospective studies, and considerable heterogeneity was observed for some indicators. Further research is necessary to confirm these findings.

Indexed as

Breast NeoplasmsLymphocytesMonocytesDisease-Free SurvivalFemaleHumansLymphocyte CountPrognosisBreast cancerLMRMeta-analysisPrognosis

Identifiers

PMID41272609
PMCPMC12639996

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Registered trials

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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.