Evidence map›Paper›PMID 24772343›Full record

ArticleJournal of gastrointestinal oncology2014

Analysis of surgical complications of primary tumor resection after neoadjuvant treatment in stage IV colon cancer.

Jorge Arredondo, Patricia Martínez, Jorge Baixauli, Carlos Pastor, Javier Rodríguez, Fernando Pardo, Fernando Rotellar, Ana Chopitea, José Luís Hernández-Lizoáin

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. World journal of gastrointestinal oncology · 2017
    Article
  7. Mid-term oncologic outcome of a novel approach for locally advanced colon cancer with neoadjuvant chemotherapy and surgery.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2017
    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

9 authors at 1 institution in 1 country.

Jorge Arredondo1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Patricia Martínez1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Jorge Baixauli1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Carlos Pastor1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Javier Rodríguez1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Fernando Pardo1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Fernando Rotellar1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Ana Chopitea1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
José Luís Hernández-Lizoáin1 General Surgery Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain ; 2 General Surgery Department, Hospital Universitario Fundación Jiménez-Díaz, 28040 Madrid, Spain ; 3 Clinical Oncology Department, Clínica Universidad de Navarra, 31008 Pamplona, Navarra, Spain.
Clinica Universidad de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAssess the surgical complications of primary tumor resection in stage IV colon cancer patients previously treated with neoadjuvant chemotherapy.

methodsBetween July 2001 and September 2010, 67 consecutive patients received preoperative chemotherapy. Clinical and surgical complications were obtained from the medical records. This study was retrospective in design.

resultsAll patients were affected with liver metastasis, and 29.8% had metastasis in additional organs. Three different schemes of preoperative chemotherapy were employed, based on FOLFIRI, XELOXIRI or XELOX plus cetuximab. Eighteen patients (26.8%) reported some side effects to the chemotherapy, without contraindicating any intervention. All patients underwent colon surgery and within those, eight patients (11.9%), underwent liver surgery simultaneously. Median hospital admission was 8 [3-29] days. The perioperative complication rate was 16.2%, when the estimated physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) was 58.3%. There was not perioperative mortality, despite the mortality prediction for Portsmouth-POSSUM (P-POSSUM) being 5.07%. No differences were observed between the chemotherapy regimen (P=0.72) or the kind of the surgery-simple or combined (P=0.58).

conclusionsNeoadjuvant chemotherapy as a systemic treatment for stage IV colon cancer does not indicate surgery contraindication nor increases postoperative morbimortality by a significant amount.

Indexed as

neoajuvant chemotherapyphysiological and operative severity score for the enumeration of mortality and morbidity (POSSUM)Stage IV colon cancersurgical morbidity

Identifiers

PMID24772343
PMCPMC3999633
OpenAlexW1871293012

What OpenQuestion holds

Textmetadata
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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.