Evidence map›Paper›PMID 36217812›Full record

ArticleAnnals of coloproctology2024

Evaluating prognostic significance of preoperative C-reactive protein to albumin ratio in older patients with pathological stage II or III colorectal cancer.

Koji Numata, Yukari Ono, Mihwa Ju, Shizune Onuma, Ayano Tanaka, Taichi Kawabe, Sho Sawazaki, Akio Higuchi, Kazuki Yamanaka, Shinsuke Hatori and 4 more

Abstract read
In one paragraph

Article in Annals of coloproctology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

14 authors.

Koji NumataDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Yukari OnoDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Mihwa JuDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Shizune OnumaDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Ayano TanakaDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Taichi KawabeDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Sho SawazakiDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Akio HiguchiDepartment of Surgery, Yokohama Minami Kyosai Hospital, Yokohama, Japan.
Kazuki YamanakaDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Shinsuke HatoriDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.
Hiroyuki SaekiDepartment of Surgery, Yokohama Minami Kyosai Hospital, Yokohama, Japan.
Hiroshi MatsukawaDepartment of Surgery, Yokohama Minami Kyosai Hospital, Yokohama, Japan.
Yasushi RinoDepartment of Surgery, Yokohama City University, Yokohama, Japan.
Kazuyuki TaniDepartment of Surgery, Hiratsuka Kyosai Hospital, Hiratsuka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was performed to evaluate the prognostic value of preoperative C-reactive protein to albumin ratio (CAR) in older patients with colorectal cancer (CRC) undergoing curative resection.

methodsWe retrospectively analyzed 244 older patients (aged 75 years or higher) with pathological stage II or III CRC who underwent curative surgery between 2008 and 2016. The optimal value of CAR was calculated and its correlation with the clinicopathological factors and prognosis was examined.

resultsThe optimal cutoff value of the CAR was 0.085. High preoperative CAR was significantly associated with high carcinoembryonic antigen levels (P=0.001), larger tumor size (P<0.001), and pT factor (P=0.001). On multivariate analysis, high CAR was independent prognostic factor for relapse-free survival (P=0.042) and overall survival (P=0.001).

conclusionPreoperative elevated CAR could be considered as an adverse predictor of both relapse-free survival and overall survival in older patients with CRC undergoing curative surgery.

Indexed as

Colorectal neoplasmsC-reactive protein to albumin ratioCurative surgeryOlder patientsPrognosis

Identifiers

PMID36217812
PMCPMC11082553

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.