Evidence map›Paper›PMID 21939606›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2011

Total pelvic exenteration for rectal cancer: outcomes and prognostic factors.

Trustin S Domes, Patrick H D Colquhoun, Brian Taylor, Jonathan I Izawa, Andrew A House, Patrick P W Luke, Jonathan I Izawa

Abstract readEvaluation Study
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 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

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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

7 authors.

Trustin S DomesDivision of Urology, Department of Medicine, Schulich School of Medicine, University of Western Ontario, London, Ontario.
Patrick H D Colquhoun
Brian Taylor
Jonathan I Izawa
Andrew A House
Patrick P W Luke
Jonathan I Izawa

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo perform complete resection of locally advanced and recurrent rectal carcinoma, total pelvic exenteration (TPE) may be attempted. We identified disease-related outcomes and prognostic factors.

methodsWe conducted a single-centre review of patients who underwent TPE for rectal carcinoma over a 10-year period.

resultsWe included 28 patients in our study. After a median follow-up of 35 months, 53.6% of patients were alive with no evidence of disease. The 3-year actuarial disease-free and overall survival rates were 52.2% and 75.1%, respectively. On univariate analysis, recurrent disease, preoperative body mass index greater than 30 and lymphatic invasion were poor prognostic factors for disease-free survival, and only lymphatic invasion predicted overall survival. Additionally, multivariate analysis identified lymphatic invasion as an independent poor prognostic factor for disease-free survival in this patient population with locally advanced and recurrent rectal carcinoma.

conclusionDespite the significant morbidity, TPE can provide long-term survival in patients with rectal carcinoma. Additionally, lymphatic invasion on final pathology was an independent prognostic factor for disease-free survival.

Indexed as

Pelvic ExenterationAdenocarcinomaAdultAgedBody Mass IndexFemaleHumansLymphatic MetastasisMaleMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsPrognosisRectal NeoplasmsRetrospective StudiesSurvival Analysis

Identifiers

PMID21939606
PMCPMC3238342

What OpenQuestion 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 OpenQuestion graph.