Evidence map›Paper›PMID 16538219›Full record

SynthesisBritish journal of cancer2006

Surgical resection of hepatic metastases from colorectal cancer: a systematic review of published studies.

P C Simmonds, J N Primrose, J L Colquitt, O J Garden, G J Poston, M Rees

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in British journal of cancer, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 311 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
311citing papers in PubMed, 10 pooled it
–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.

NCT03806244 naterminatednot on this mapstarted 2019, after this paper: background citation

Prospective Study of the Feasibility of Stereotactic Navigation in Laparoscopic Surgery for Colorectal Cancer

TypeinterventionalSponsorIHU StrasbourgRan2019 to 2022Enrolled12ConditionsColorectal CancerArmsIntraoperative acquisition (robotic c-Arm) of images
NCT07406126 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Y90 Radioembolization as Neoadjuvant Therapy for Potentially Resectable Patients With Colorectal Liver Metastases: Immune Markers Evaluation, Impact on Circulating Tumor DNA and Personalized Dosimetry Approach

TypeobservationalSponsorFernando Gómez MuñozRan2026 to 2028Enrolled30ConditionsColorectal Liver Metastases (CRCLM), Unresectable Colorectal Liver MetastasesArmsYttrium-90 Radioembolization with standard systemic therapy
3 · Its place in the literature

Who cites it

311 citing papers in PubMed, 10 syntheses or guidelines pooled it.

  1. Treatment of Metastatic Colorectal Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Pooled it
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  3. 2021 American Thyroid Association Guidelines for Management of Patients with Anaplastic Thyroid Cancer.Thyroid : official journal of the American Thyroid Association · 2021
    Guideline
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  8. Systematic review of systemic adjuvant, neoadjuvant and perioperative chemotherapy for resectable colorectal-liver metastases.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2016
    Pooled it
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251 more citing papers are in PubMed but not listed here.

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.

P C SimmondsCancer Research UK Clinical Centre, MP824, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK.
J N Primrose
J L Colquitt
O J Garden
G J Poston
M Rees

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

No consensus on the indications for surgical resection of colorectal liver metastases exists. This systematic review has been undertaken to assess the published evidence for its efficacy and safety and to identify prognostic factors. Studies were identified by computerised and hand searches of the literature, scanning references and contacting investigators. The outcome measures were overall survival, disease-free survival, postoperative morbidity and mortality, quality of life and cost effectiveness, and a qualitative summary of the trends across all studies was produced. Only 30 of 529 independent studies met all the eligibility criteria for the review, and data on 30-day mortality and morbidity only were included from a further nine studies. The best available evidence came from prospective case series, but only two studies reported outcomes for all patients undergoing surgery. The remainder reported outcomes for selected groups of patients: those undergoing hepatic resection or those undergoing curative resection. Postoperative mortality rates were generally low (median 2.8%). The majority of studies described only serious postoperative morbidity, the most common being bile leak and associated perihepatic abscess. Approximately 30% of patients remained alive 5 years after resection and around two-thirds of these are disease free. The quality of the majority of published papers was poor and ascertaining the benefits of surgical resection of colorectal hepatic metastases is difficult in the absence of randomised trials. However, it is clear that there is group of patients with liver metastases who may become long-term disease-free survivors following hepatic resection. Such survival is rare in apparently comparable patients who do not have surgical treatment. Further work is needed to more accurately define this group of patients and to determine whether the addition of adjuvant treatments results in improved survival.

Indexed as

HepatectomyPostoperative ComplicationsColorectal NeoplasmsDisease-Free SurvivalHumansLiver NeoplasmsMorbidityPrognosisQuality ControlQuality of LifeRandomized Controlled Trials as TopicTreatment Outcome

Identifiers

PMID16538219
PMCPMC2361241

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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 OpenQuestion graph.