Evidence map›Paper›PMID 23813048›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2013

Postoperative detection of circulating tumor cells predicts tumor recurrence in colorectal cancer patients.

Gennaro Galizia, Marica Gemei, Michele Orditura, Ciro Romano, Anna Zamboli, Paolo Castellano, Andrea Mabilia, Annamaria Auricchio, Ferdinando De Vita, Luigi Del Vecchio and 1 more

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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02746432 (Insulin Therapy Reduce Post-Operative Inflammatory Response After Curative Colorectal Cancer Resection), which is not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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.

NCT02746432 phase4unknown statusnot on this mapstarted 2018, after this paper: background citation

Insulin Therapy Reduce Post-Operative Inflammatory Response After Curative Colorectal Cancer Resection: Randomization Controlled Trial

TypeinterventionalSponsorKing Saud UniversityRan2018 to 2021Enrolled144ConditionsColon CancerArmsHyper insulinemic euglycemic clamp
3 · Its place in the literature

Who cites it

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

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  15. Tumors Are Evolutionary Island-Like Ecosystems.Genome biology and evolution · 2021
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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

11 authors.

Gennaro GaliziaDivision of Surgical Oncology-"F. Magrassi - A. Lanzara" Department of Clinical and Experimental Medicine and Surgery, Second University of Naples School of Medicine, c/o II Policlinico, Edificio 17, Via Pansini 5, 80131, Naples, Italy, gennaro.galizia@unina2.it.
Marica Gemei
Michele Orditura
Ciro Romano
Anna Zamboli
Paolo Castellano
Andrea Mabilia
Annamaria Auricchio
Ferdinando De Vita
Luigi Del Vecchio
Eva Lieto

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCirculating tumor cells are thought to play a crucial role in the development of distant metastases. Their detection in the blood of colorectal cancer patients may be linked to poor outcome, but current evidence is controversial. MATERIALS AND

methodsPre- and postoperative flow cytometric analysis of blood samples was carried out in 76 colorectal cancer patients undergoing surgical resection. The EpCAM/CD326 epithelial surface antigen was used to identify circulating tumor cells.

resultsFifty-four (71%) patients showed circulating tumor cells preoperatively, and all metastatic patients showed high levels of circulating tumor cells. Surgical resection resulted in a significant decrease in the levels of circulating tumor cells. Among 69 patients undergoing radical surgery, 16 had high postoperative levels of circulating tumor cells, and 12 (75%) experienced tumor recurrence. High postoperative level of circulating tumor cells was the only independent variable related to cancer relapse. In patients without circulating tumor cells, the progression-free survival rate increased from 16 to 86%, with a reduction in the risk of tumor relapse greater than 90%.

conclusionsHigh postoperative levels of circulating tumor cells accurately predicted tumor recurrence, suggesting that assessment of circulating tumor cells could optimize tailored management of colorectal cancer patients.

Indexed as

AgedColorectal NeoplasmsFemaleHumansMaleNeoplasm Recurrence, LocalNeoplastic Cells, CirculatingPrognosisTime Factors

Identifiers

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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.