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Cited by 277

The DOI matches its Crossref record; 48 of the 48 references it cites were found in a registry or an index.

Ki-67 expression and patients survival in lung cancer: systematic review of the literature with meta-analysis

Open access
Martin, B, Paesmans, M, Mascaux, C, Berghmans, T, Lothaire, P, Meert, A-P, Lafitte, J-J, Sculier, J-P·2004·British Journal of Cancer

Abstract

Among new biological markers that could become useful prognostic factors for lung carcinoma, Ki-67 is a nuclear protein involved in cell proliferation regulation. Some studies have suggested an association between Ki-67 and poor survival in lung cancer patients. In order to clarify this point, we have performed a systematic review of the literature, using the methodology already described by our Group, the European Lung Cancer Working Party. In total, 37 studies, including 3983 patients, were found to be eligible. In total, 49% of the patients were considered as having a tumour positive for the expression of Ki-67 according to the authors cutoff. In all, 29 of the studies dealt with non-small-cell lung carcinoma (NSCLC), one with small-cell carcinoma (SCLC), two with carcinoid tumours and five with any histology. In terms of survival results, Ki-67 was a bad prognosis factor for survival in 15 studies while it was not in 22. As there was no statistical difference in quality scores between the significant and nonsignificant studies evaluable for the meta-analysis, we were allowed to aggregate the survival results. The combined hazard ratio for NSCLC, calculated using a random-effects model was 1.56 (95% CI: 1.30-1.87), showing a worse survival when Ki-67 expression is increased. In conclusion, our meta-analysis shows that the expression of Ki-67 is a factor of poor prognosis for survival in NSCLC.

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Metadata

Authors
Martin, B., Paesmans, M., Mascaux, C., Berghmans, T., Lothaire, P., Meert, A.-P., Lafitte, J.-J., & Sculier, J.-P.
Venue
British Journal of Cancer
Published
2004-11-16
Volume
91
Issue
12
Pages
2018-2025
ISSN
  • 0007-0920 (ISSN-L)
  • 1532-1827
OpenAlex
W2067757569
Cited by
277
References
48
FWCI
0.55
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Ki-67 expression and patients survival in lung cancer: systematic review of the literature with meta-analysis. https://app.cochat.ai/papers/10.1038/sj.bjc.6602233
The paper
Martin, B., Paesmans, M., Mascaux, C., Berghmans, T., Lothaire, P., Meert, A.-P., Lafitte, J.-J., & Sculier, J.-P. (2004). Ki-67 expression and patients survival in lung cancer: systematic review of the literature with meta-analysis. British Journal of Cancer. https://doi.org/10.1038/sj.bjc.6602233

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