Evidence map›Paper›PMID 41530698›Full record

SynthesisBMC cancer2026

Clinical significance of the pretreatment C-reactive protein-albumin-lymphocyte (CALLY) index in colorectal cancer patients: a meta-analysis.

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

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 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.
Zhou ZhaoDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China.
Xiufeng 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.
Lihui ChenDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China. 258556553@qq.com.
Hao SunDepartment of Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, 400030, China. sunhao68@sina.com.

Funding

Research Institutions Performance Incentive Guidance Special Fund cstc2022jxjl0234Wu Jieping Medical Foundation research fund No. 320.6750.2023-19-35
6 · The paper itself

Abstract

backgroundThe C-reactive protein-albumin-lymphocyte (CALLY) index, which is devised to evaluate the inflammatory, immune, and nutritional status of patients, has emerged as a potentially valuable prognostic biomarker in diverse malignancies. The aim of this study is to conduct a systematic investigation into the correlation between the pretreatment CALLY index and clinical outcomes in patients with colorectal cancer.

methodsA comprehensive systematic literature search was carried out using electronic databases, including Web of Science, PubMed, CNKI and Embase. The search spanned from inception to July 1, 2025, with an update on September 20, 2025. The primary endpoints were survival outcomes and postoperative complications, while the secondary outcomes were clinicopathological features. This meta-analysis has been registered with PROSPERO (CRD420251156757).

resultsA total of ten studies, involving 7,362 patients with colorectal cancer, were included in the meta-analysis. The pooled findings indicated that patients in the high CALLY group demonstrated significantly better overall survival (Hazard ratio [HR] = 0.62; 95% confidence interval [CI]: 0.53–0.73; I² = 69%), better disease-free survival (HR = 0.58; 95% CI: 0.41–0.81; I² = 84%), and a lower risk of postoperative complications (Odds ratio [OR] = 0.55; 95% CI: 0.38–0.81; I² = 29%) compared to those in the low CALLY group. Moreover, a high CALLY index was significantly associated with a lower percentage of T4 tumors and a lower proportion of poorly differentiated histology.

conclusionsOur evidence suggests that the pretreatment CALLY index holds potential as a valuable biomarker to predict clinical outcomes for patients with colorectal cancer.

Indexed as

Biomarkers, TumorColorectal NeoplasmsC-Reactive ProteinLymphocytesSerum AlbuminDisease-Free SurvivalHumansLymphocyte CountPrognosisBiomarkers, TumorC-Reactive ProteinSerum AlbuminCALLY indexColorectal cancerMeta-analysisPostoperative complicationsSurvival outcomes

Identifiers

PMID41530698
PMCPMC12888327

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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.