Evidence map›Paper›PMID 41380167›Full record

ArticleJournal of cachexia, sarcopenia and muscle2025

Interplay of IL-6, GDF-15 and Sarcopenia in Patients With Bladder Cancer Undergoing Radical Cystectomy and Its Implications on Survival.

Simon U Engelmann, Felix Kasparbauer, Christoph Pickl, Francesco Del Giudice, Maximilian Haas, Emily Rinderknecht, Peter J Siska, Renate Pichler, Christoph Niessen, Maximilian Burger and 2 more

Abstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Simon U EngelmannDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Felix KasparbauerDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Christoph PicklDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Francesco Del GiudiceDepartment of Maternal-Infant and Urological Sciences, Sapienza Rome University, Rome, Italy.
Maximilian HaasDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Emily RinderknechtDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Peter J SiskaDepartment of Internal Medicine III, University Hospital Regensburg, Regensburg, Germany.
Renate PichlerDepartment of Urology, Comprehensive Cancer Center Innsbruck, Medical University of Innsbruck, Innsbruck, Austria.
Christoph NiessenDepartment of Radiology, St. Josef Medical Center, Regensburg, Germany.
Maximilian BurgerDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Miodrag GužvićDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.
Roman MayrDepartment of Urology, St. Josef Medical Center, University of Regensburg, Regensburg, Germany.ORCID 0000-0003-1796-3260

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSarcopenia has emerged as a significant predictor of adverse outcomes in cancer. Specifically, this is also true for patients with bladder cancer undergoing radical cystectomy (RC). This retrospective study investigates the roles of the biomarkers interleukin-6 (IL-6) and growth differentiation factor-15 (GDF-15), in the context of sarcopenia, assessing their impact on oncological and survival outcomes.

methodsPreoperative serum IL-6 and GDF-15 levels were analysed in 179 patients undergoing RC. Their association with sarcopenia, adverse pathological features and survival outcomes was investigated.

resultsElevated IL-6 and GDF-15 levels were significantly correlated with the presence of sarcopenia (p = 0.04 and p = 0.03, respectively). IL-6 and GDF-15 levels in serum showed a positive correlation (Spearman r = 0.45, 95%CI 0.32-0.56, p < 0.01). Higher IL-6 and GDF-15 levels were also associated with higher tumour stages (both p < 0.01), positive lymph nodes (p = 0.02 and p < 0.01) and unfavourable surgical margins (both p < 0.01). Patients with both sarcopenia and high IL-6 or GDF-15 levels exhibited significantly worse overall survival and cancer-specific survival in multivariate Cox regression analysis.

conclusionsThese findings highlight the interplay between IL-6, GDF-15, sarcopenia and tumour progression, suggesting that IL-6 and GDF-15 may serve as valuable prognostic biomarkers and potential therapeutic targets. Further research is warranted to explore targeted therapeutic strategies aimed at mitigating sarcopenia and systemic inflammation in this patient population.

Indexed as

CystectomyGrowth Differentiation Factor 15Interleukin-6SarcopeniaUrinary Bladder NeoplasmsAgedFemaleHumansMaleNeoplasm StagingPrognosisProportional Hazards ModelsProspective StudiesRetrospective StudiesSurvival RateGDF15 protein, humanGrowth Differentiation Factor 15IL6 protein, humanInterleukin-6biomarkersbladder cancerGDF‐15interleukin 6sarcopeniaurothelial cancer

Identifiers

PMID41380167
PMCPMC12698074

What Socratic holds

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LicenceCC BY
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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.