Evidence mapPaperPMID 41516306Full record

Observational studyInternational journal of molecular sciences2025

Systemic Inflammatory Indices-Systemic Immune-Inflammation Index (SII) and the Systemic Inflammation Response Index (SIRI)-As Potential Rule-Out Biomarkers for Invasive Cervical Carcinoma.

Márton Keszthelyi, Réka Eszter Sziva, Zsófia Havrán, Verita Szabó, Noémi Kalas, Lotti Lőczi, Barbara Sebők, Petra Merkely, Nándor Ács, Szabolcs Várbíró and 2 more

Abstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 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. Review
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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

12 authors.

Márton KeszthelyiDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.ORCID 0000-0003-4886-3481
Réka Eszter SzivaDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.
Zsófia HavránFaculty of Medicine, Semmelweis University, Üllői Road 26, 1085 Budapest, Hungary.
Verita SzabóFaculty of Medicine, Semmelweis University, Üllői Road 26, 1085 Budapest, Hungary.
Noémi KalasFaculty of Medicine, Semmelweis University, Üllői Road 26, 1085 Budapest, Hungary.
Lotti LőcziDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.
Barbara SebőkWorkgroup of Research Management, Doctoral School, Semmelweis University, Üllői Road 26, 1085 Budapest, Hungary.ORCID 0000-0003-2358-307X
Petra MerkelyDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.
Nándor ÁcsDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.
Szabolcs VárbíróWorkgroup of Research Management, Doctoral School, Semmelweis University, Üllői Road 26, 1085 Budapest, Hungary.
Balázs LintnerDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.
Richárd TóthDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Road 78/A, 1082 Budapest, Hungary.ORCID 0009-0000-9535-5821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical cancer, primarily caused by high-risk Human Papilloma Virus (HPV), remains a global health concern. Prognostic biomarkers reflecting systemic inflammation and immune response-the Systemic Immune-Inflammation Index (SII) and the Systemic Inflammation Response Index (SIRI)-have recently attracted interest for their potential predictive value in cervical cancer. We conducted a retrospective observational study including 344 patients who underwent loop electrosurgical excision of cervical intraepithelial neoplasia at Semmelweis University, Budapest, Hungary, between 2021 and 2024. Demographic, cytologic, histologic, and laboratory data were collected, and SII and SIRI were calculated. Statistical analyses, including Receiver Operating Characteristic (ROC) analyses, were performed. Higher SII and SIRI values were significantly associated with higher-grade lesions and invasive carcinoma. ROC analyses indicated good discriminatory performance, with negative predictive values of 96-100%, suggesting potential utility in ruling out malignant transformation. SII and SIRI are simple, cost-effective, and minimally invasive biomarkers that correlate with lesion severity in cervical disease. Their high negative predictive value supports a potential role as complementary rule-out tools in diagnostic evaluation. Further prospective studies are needed to validate these findings and to define clinically meaningful cut-off values for routine use.

Indexed as

Biomarkers, TumorInflammationUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultAgedFemaleHumansMiddle AgedPrognosisRetrospective StudiesROC CurveBiomarkers, Tumorcervical cancercomplete blood countHPVSIISIRI

Identifiers

PMID41516306
PMCPMC12786036

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.