Evidence map›Paper›PMID 25170209›Full record

ReviewWorld journal of gastroenterology2014

Multidisciplinary treatment of rectal cancer in 2014: where are we going?

Andrea Vignali, Paola De Nardi

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05331040 (The New Challenge of Decoding Rectal Cancer Signatures By Non-Invasive Imaging), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 13% 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.

NCT05331040 withdrawnnot on this mapstarted 2020, after this paper: background citation

The New Challenge of Decoding Rectal Cancer Signatures By Non-Invasive Imaging: A Retrospective Radiomics Study

TypeobservationalSponsorNHS GrampianRan2020 to 2021Enrolled0ConditionsRectal CancerArmsMRI
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 27 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

Andrea VignaliAndrea Vignali, Paola De Nardi, Department of Surgery, San Raffaele Scientific Institute, Vita Salute University, 20132 Milan, Italy.
Paola De NardiAndrea Vignali, Paola De Nardi, Department of Surgery, San Raffaele Scientific Institute, Vita Salute University, 20132 Milan, Italy.
Vita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the present review we discuss the recent developments and future directions in the multimodal treatment of locally advanced rectal cancer, with respect to staging and re-staging modalities, to the current role of neoadjuvant chemo-radiation and to the conservative and more limited surgical approaches based on tumour response after neoadjuvant combined therapy. When initial tumor staging is considered a high accuracy has been reported for T pre-treatment staging, while preoperative lymph node mapping is still suboptimal. With respect to tumour re-staging, all the current available modalities still present a limited accuracy, in particular in defining a complete response. The role of short vs long-course radiotherapy regimens as well as the optimal time of surgery are still unclear and under investigation by means of ongoing randomized trials. Observational management or local excision following tumour complete response are promising alternatives to total mesorectal excision, but need further evaluation, and their use outside of a clinical trial is not recommended. The preoperative selection of patients who will benefit from neoadjuvant radiotherapy or not, as well as the proper identification of a clinical complete tumour response after combined treatment modalities,will influence the future directions in the treatment of locally advanced rectal cancer.

Indexed as

Digestive System Surgical ProceduresNeoadjuvant TherapyChemoradiotherapy, AdjuvantHumansInterdisciplinary CommunicationNeoplasm, ResidualNeoplasm StagingPatient Care TeamPatient SelectionRadiotherapy, AdjuvantRadiotherapy DosageRectal NeoplasmsRisk FactorsTime FactorsTreatment OutcomeCancer restagingCancer stagingComplete pathologic responseLocal controlLocal excisionNeoadjuvant chemoradiationRectal cancerRectal cancer surgeryResponseTreatment

Identifiers

PMID25170209
PMCPMC4145763
OpenAlexW2007627136

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.