Evidence map›Paper›PMID 19241080›Full record

Trial reportInternational journal of colorectal disease2009

Prognostic impact of intrahepatic lymphatic and microvascular involvement in cases of colorectal liver metastases.

Maximilian Bockhorn, Georgios Sotiropoulos, Jan Neuhaus, George Sgourakis, Sien-Yi Sheu, Ernesto Molmenti, Christian Fingas, Tanja Trarbach, Andreja Frilling, Christoph E Broelsch

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Critical review of the prognostic significance of pathological variables in patients undergoing resection for colorectal liver metastases.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2014
    Article
  8. Article
  9. Management of colorectal cancer patients after resection of liver metastases: can we offer a tailored treatment?Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2012
    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

10 authors.

Maximilian BockhornDepartment of General-, Visceral- and Thoracic Surgery, University Hospital Hamburg Eppendorf, Hamburg, Germany. maximilian.bockhorn@uke.uni-hamburg.de
Georgios Sotiropoulos
Jan Neuhaus
George Sgourakis
Sien-Yi Sheu
Ernesto Molmenti
Christian Fingas
Tanja Trarbach
Andreja Frilling
Christoph E Broelsch

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study was to evaluate the effect of intrahepatic microvascular and lymphatic infiltration on survival in cases of colorectal liver metastases. MATERIALS AND

methodsProspectively collected data of 331 patients were analyzed for microvascular invasion (V), lymphatic infiltration (L), and resection margins (R) with respect to overall and disease-free survival.

resultsOne-, 3-, and 5-year overall survival rates for R0 resected patients were 89%, 64%, and 39%, respectively. The corresponding survival rates for R1 resected patients were 83%, 42%, and 24% (p < 0.001). The sole presence of microvascular invasion (V1) or lymphatic infiltration (L1) was not associated with a diminished overall survival (p > 0.05). However, patients with a combination of L1V1 had a significantly worse overall survival of 68%, 20%, and 0% when compared to L0V0 patients. This difference was not influenced by the status of the resection margin. No other parameter investigated was found to be of predictive value.

conclusionsThe presence of combined lymphatic and vascular invasion (L1V1) constitutes a predictor of poor overall and disease-free survival. This subgroup of patients might benefit from adjuvant strategies such as chemotherapeutic treatment.

Indexed as

Colorectal NeoplasmsDisease-Free SurvivalHumansLiver NeoplasmsLymphatic SystemMicrovesselsMiddle AgedNeoadjuvant TherapyPerioperative CarePrognosisTreatment Outcome

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.