Evidence map›Paper›PMID 39779654›Full record

ArticleInternational journal of clinical oncology2025

Prognostic significance of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and monocyte-to-lymphocyte ratio in uterine carcinosarcoma.

Azusa Sakurai, Ken Yamaguchi, Kentaro Ishida, Naoki Horikawa, Eri Kawai, Yasushi Kotani, Takaaki Yoshida, Naoya Kishimoto, Keiji Tatsumi, Minami Okudate and 10 more

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of clinical oncology, 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

20 authors.

Azusa SakuraiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Ken YamaguchiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan. soulken@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0002-7669-1405
Kentaro IshidaDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Naoki HorikawaDepartment of Obstetrics and Gynecology, Kurashiki Central Hospital, Okayama, Japan.
Eri KawaiDepartment of Obstetrics and Gynecology, Medical Research Institute Kitano Hospital, Osaka, Japan.
Yasushi KotaniDepartment of Obstetrics and Gynecology, Faculty of Medicine, Kindai University, Osaka, Japan.
Takaaki YoshidaDepartment of Obstetrics and Gynecology, Japanese Red Cross Wakayama Medical Center, Wakayama, Japan.
Naoya KishimotoDepartment of Obstetrics and Gynecology, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.
Keiji TatsumiDepartment of Obstetrics and Gynecology, National Hospital Organization Osaka National Hospital, Osaka, Japan.
Minami OkudateDepartment of Obstetrics and Gynecology, Kobe City Medical Center General Hospital, Hyogo, Japan.
Yoko IemuraDepartment of Obstetrics and Gynecology, Japanese Red Cross Otsu Hospital, Shiga, Japan.
Yukiko TagaDepartment of Obstetrics and Gynecology, Shiga General Hospital, Shiga, Japan.
Megumi AkiDepartment of Obstetrics and Gynecology, Shiga General Hospital, Shiga, Japan.
Yukiko AndoDepartment of Obstetrics and Gynecology, Hyogo Prefectural Amagasaki General Medical Center, Hyogo, Japan.
Akihiro YanaiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Koji YamanoiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Mana TakiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Ryusuke MurakamiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Junzo HamanishiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.
Masaki MandaiDepartment of Gynecology and Obstetrics, Graduate School of Medicine and Faculty of Medicine, Kyoto University, 54 Kawahara-Cho, Shogoin, Sakyo-Ku, Kyoto, 606-8507, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUterine carcinosarcoma (UCS) and uterine sarcomas (US) are rare but aggressive cancer with poor prognoses. The prognostic value of systemic inflammatory response (SIR) indicators, including the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and monocyte-to-lymphocyte ratio (MLR), in predicting outcomes of UCS and US remains unclear. This study investigated the prognostic significance of SIR indicators for UCS and US. MATERIALS AND

methodsClinicopathological data from 237 patients diagnosed with UCS or US across 14 hospitals from January 2008 to December 2017 were retrospectively analyzed. NLR, PLR, and MLR values were calculated from preoperative blood counts. Prognostic impact was evaluated using Kaplan-Meier survival analysis, Cox regression models, and receiver operating characteristic (ROC) curve analysis.

resultsElevated NLR, PLR, and MLR were associated with poorer progression-free survival (PFS) in UCS. Additionally, a high NLR also indicated worse overall survival (OS) in UCS. In patients with US, only PLR was significantly associated with poorer PFS. Combining SIR indicators provided a stronger prognostic prediction for UCS compared to individual indicators. Multivariate analysis revealed that high levels of SIR indicators were an independent poor prognostic factor for both PFS and OS in UCS.

conclusionSIR indicators, particularly when combined, are valuable prognostic markers in UCS, reflecting the inflammatory status and aiding in stratifying patients for tailored therapeutic strategies. These findings support the incorporation of SIR indicators into clinical practice for better management of patients with UCS.

Indexed as

Blood PlateletsCarcinosarcomaLymphocytesMonocytesNeutrophilsUterine NeoplasmsAdultAgedAged, 80 and overFemaleHumansKaplan-Meier EstimateLymphocyte CountMiddle AgedPlatelet CountPrognosisMonocyte to lymphocyte ratioNeutrophil to lymphocyte ratioPlatelet to lymphocyte ratioSystematic inflammatory responseUterine carcinosarcoma

Identifiers

What Socratic holds

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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 Socratic graph.