Evidence map›Paper›PMID 41219785›Full record

ArticleWorld journal of surgical oncology2025

Prognostic significance of the CALLY index for cancer risk and survival: evidence from NHANES 2001-2018.

Ying Wen, Zhixian Zhou, Yanru Ou, Peijia Ye, Yuanyuan Tang, Qiongyan Zou

Abstract read
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Article in World journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

7 citing papers in PubMed.

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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

6 authors.

Ying Wen *The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
Zhixian Zhou *The Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
Yanru OuThe Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China.
Peijia YeDepartment of Biomedical Engineering, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA.
Yuanyuan TangDepartment of Oncology Plastic Surgery, Hunan Cancer Hospital, The Affiliated Cancer Hospital Of Xiangya School Of Medicine, Central South University, Changsha, Hunan, 410013, China.
Qiongyan ZouThe Second Xiangya Hospital of Central South University, Changsha, Hunan, 410011, China. zqy4311@csu.edu.cn.

Funding

China Primary Health Care Foundation cphcf-2023-091Postgraduate Innovative Project of Central South University 2024XQLH062
6 · The paper itself

Abstract

backgroundThe C-reactive protein-albumin-lymphocyte (CALLY) index is an immune-nutritional biomarker associated with cancer prognosis. Its relevance to cancer incidence and long-term survival in the general population has not been well established.

methodsWe analyzed NHANES 2001-2018 data from 36,904 participants, including 3,218 cancer patients. Logistic regression assessed cancer risk, and Cox proportional hazards models evaluated all-cause, cancer-specific, and cardiovascular mortality among cancer survivors. Restricted cubic splines (RCS) examined nonlinear associations, and subgroup analyses were stratified by age and sex.

resultsCancer patients showed lower CALLY index values. Compared with the lowest quartile, the highest quartile was associated with a reduced risk of cancer (OR = 0.77, 95% CI = 0.67-0.90, P < 0.001). RCS identified a nonlinear association with cancer incidence (P-nonlinearity = 0.003), with a threshold at 9.402 (log-transformed). Among survivors, higher CALLY index values were significantly associated with reduced all-cause (HR = 0.39), cancer-cause mortality (HR = 0.36), and cardiovascular mortality (HR = 0.32), all P < 0.001. These associations remained consistent across subgroups.

conclusionsThe CALLY index is significantly associated with cancer risk and mortality. As a simple and robust biomarker reflecting immune-nutritional status, it may be associated with cancer risk and could provide useful information for prognostic assessment. Although causal inferences cannot be drawn due to the cross-sectional design of NHANES.

Indexed as

Biomarkers, TumorC-Reactive ProteinLymphocytesNeoplasmsSerum AlbuminAdultAgedCancer SurvivorsCardiovascular DiseasesFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedNutrition SurveysBiomarkers, TumorC-Reactive ProteinSerum AlbuminCALLY indexCancer riskImmune-nutritional biomarkerMortalityNHANESPrognosis

Identifiers

PMID41219785
PMCPMC12607156

What Socratic holds

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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.