Evidence map›Paper›PMID 41291506›Full record

SynthesisBMC gastroenterology2025

Prognostic value of the platelet-to-lymphocyte ratio in colorectal cancer patients undergoing chemotherapy: a systematic review and meta-analysis.

Hongmei Yu, Youfu He, Tingting Lv, Xiaofeng Lu, Yan Shu, Hongying Pan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC gastroenterology, 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. Beyond the biopsy: the new era of non-invasive staging and biomarkers in colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  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

6 authors.

Hongmei YuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3 Qingchun Dong Road, Shangcheng District, Hangzhou, Zhejiang, 310000, China.
Youfu HeDepartment of Cardiology, Guizhou Provincial People's Hospital, Guiyang, 550002, Guizhou, China.
Tingting LvNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3 Qingchun Dong Road, Shangcheng District, Hangzhou, Zhejiang, 310000, China.
Xiaofeng LuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3 Qingchun Dong Road, Shangcheng District, Hangzhou, Zhejiang, 310000, China.
Yan ShuNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3 Qingchun Dong Road, Shangcheng District, Hangzhou, Zhejiang, 310000, China.
Hongying PanNursing Department, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, No. 3 Qingchun Dong Road, Shangcheng District, Hangzhou, Zhejiang, 310000, China. 3191016@zju.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis research aimed to estimate the prognostic value of the platelet-to-lymphocyte ratio (PLR) in colorectal cancer (CRC) patients receiving chemotherapy.

methodsEmbase, the Cochrane Library, Web of Science, and PubMed were searched from inception to March 20, 2025. Pooled hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated to appraise the predictive significance of PLR among CRC patients receiving chemotherapy. The robustness of the findings and potential publication bias were assessed by sensitivity analysis and Egger's test, respectively. The impact of confounding variables was investigated through subgroup and regression analyses.

resultsIn total, 33 studies involving 7,529 individuals were included. Statistical analysis of categorical variables demonstrated that an increased PLR was significantly related to overall survival (OS) (HR = 1.33, 95% CI = 1.14-1.54), progression-free survival (PFS) (HR = 1.32, 95% CI = 1.06-1.63), and relapse-free survival (RFS) (HR = 1.77, 95% CI = 1.13-2.77) in CRC patients receiving chemotherapy, whereas no significant relationship was found with disease-free survival (DFS) (HR = 1.19, 95% CI = 0.84-1.69). Subgroup analyses indicated that, among metastatic CRC patients, a higher PLR was significantly linked to unfavorable OS and DFS. In CRC patients receiving adjuvant chemotherapy or chemotherapy with or without targeted therapy, high PLR was significantly related to worse OS and PFS.

conclusionAn elevated PLR is related to adverse prognosis among CRC patients undergoing chemotherapy. In clinical practice, PLR may be a promising and cost-effective predictive marker for this population.

Indexed as

Blood PlateletsColorectal NeoplasmsLymphocytesHumansLymphocyte CountPlatelet CountPrognosisChemotherapyColorectal cancerMeta-analysisPlatelet-to-lymphocyte ratioPrognosis

Identifiers

PMID41291506
PMCPMC12648781

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.