Evidence map›Paper›PMID 41695338›Full record

ArticleFrontiers in oncology2026

A nomogram based on the red cell distribution width to lymphocyte ratio as a prognostic tool for non-muscle-invasive bladder cancer: a retrospective study.

Feifan Song, Shiqiang Su, Xueqiao Zhang, Yunpeng Cao, Xiongjie Cui, Lili Zhang, Chao Li, Shen Li, Shuo Tian, Lizhe Liu

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Feifan Song *Department of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Shiqiang Su *Department of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Xueqiao ZhangDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Yunpeng CaoDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Xiongjie CuiDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Lili ZhangDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Chao LiDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Shen LiDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Shuo TianDepartment of Urology, Shijiazhuang People's Hospital, Shijiazhuang, China.
Lizhe LiuInstitute of Medicine and Health, Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study investigated the prognostic value of the preoperative red cell distribution width to lymphocyte ratio (RLR) for recurrence-free survival (RFS) and overall survival (OS) in patients with non-muscle-invasive bladder cancer (NMIBC) undergoing transurethral resection of bladder tumor (TURBT). Methods: A retrospective analysis was performed on data from 239 patients who received TURBT. The optimal RLR cutoff was determined using time-dependent receiver operating characteristic (ROC) curve analysis. Survival outcomes were assessed using Kaplan-Meier curves and univariate/multivariate Cox regression. An RFS prognostic nomogram incorporating independent factors was developed and evaluated via the concordance index (C-index), calibration plots, time-dependent ROC, and decision curve analysis (DCA). Subgroup analyses assessed the consistency of the RLR-RFS association.Results: Elevated preoperative RLR was an independent prognostic factor for worse RFS and OS. Moreover, compared to the platelet-to-lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR), RLR demonstrated relatively higher predictive performance for 1-year and 3-year RFS. The novel nomogram incorporating the RLR parameter demonstrated improved predictive accuracy and a trend toward greater net clinical benefit compared to the conventional model based solely on the EORTC recurrence risk classification. Subgroup analysis indicated a stronger relationship between high RLR and poor RFS in patients with pTaN0M0 compared to those with pT1N0M0. Conclusion: Preoperative RLR represents a potential independent prognostic indicator for tumor recurrence in NMIBC patients following TURBT. The RLR-based nomogram may improve recurrence risk prediction in this population.

Indexed as

lymphocyte countnomogramnon-muscle-invasive bladder cancerprognosisred cell distribution width

Identifiers

PMID41695338
PMCPMC12893947

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.