Evidence map›Paper›PMID 41857527›Full record

ArticleBMC cancer2026

CALLY index provides improved prognostic stratification compared with other inflammation-based scores in glioblastoma treated with the stupp protocol.

Beril Balci Topuz, Meltem Ozturk Iyilikci

Abstract read
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Beril Balci Topuz *Department of Radiation Oncology, SANKO University Faculty of Medicine, Sehitkamil/Gaziantep, 27090, Türkiye. balciberil@gmail.com.
Meltem Ozturk Iyilikci *Department of Radiation Oncology, Gaziantep City Hospital, Sahinbey/Gaziantep, 27470, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic inflammation and nutritional status are increasingly recognized as prognostic determinants in glioblastoma (GBM). The CRP–albumin–lymphocyte (CALLY) index integrates inflammatory and immune-nutritional components, yet its prognostic value in GBM remains unclear.

aimsThis study compared the prognostic performance of CALLY with other inflammation-based indices, including NLR, SII, SIRI, PIV, and NLPR.

methodsNinety-two patients with histologically confirmed GBM treated with maximal safe resection followed by standard concurrent radiotherapy and temozolomide (Stupp protocol) were retrospectively analyzed (2019–2025). Baseline hematologic indices were calculated from pre-treatment blood tests. Survival outcomes were assessed using Kaplan–Meier and Cox regression analyses. Prognostic discrimination was quantified with time-dependent ROC curves and bootstrap-corrected AUCs at 6- and 12-month horizons.

resultsMedian overall survival (OS) and progression-free survival (PFS) were 14 months and 6 months, respectively. A CALLY cut-off of 1.92 best discriminated outcomes: median OS 21 months vs. 10 months and PFS 14 months vs. 4 months (p < 0.001). CALLY achieved the highest AUCs for 12-month PFS (0.915) and OS (0.891), maintaining significance after internal validation. In multivariable analysis, low CALLY independently predicted poorer OS (HR = 3.83; p = 0.002) and PFS (HR = 7.69; p < 0.001). SIRI and PIV ranked second and third in discriminative performance.

conclusionsIn this single-centre retrospective cohort, lower baseline CALLY scores were associated with inferior survival outcomes in patients with GBM. These findings suggest that CALLY may represent a potentially useful inflammation-based prognostic marker. However, given the exploratory design and limited sample size, prospective multicentre studies are required to validate these results before clinical implementation.

Indexed as

Brain NeoplasmsC-Reactive ProteinGlioblastomaInflammationLymphocytesSerum AlbuminAdultAgedChemoradiotherapyFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisProgression-Free SurvivalC-Reactive ProteinSerum AlbuminTemozolomideCALLY indexGlioblastomaInflammation-based biomarkersPrognosisSurvival

Identifiers

PMID41857527
PMCPMC13130578

What Socratic holds

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LicenceCC BY-NC-ND
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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.