Evidence map›Paper›PMID 25632202›Full record

Observational studyWorld journal of gastroenterology2015

Prognostic value of KRAS and BRAF mutations in curatively resected colorectal cancer.

Shigenori Kadowaki, Miho Kakuta, Shuhei Takahashi, Akemi Takahashi, Yoshiko Arai, Yoji Nishimura, Toshimasa Yatsuoka, Akira Ooki, Kensei Yamaguchi, Keitaro Matsuo and 2 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
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  14. Clinical significance of theOncology letters · 2023
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  16. Prognostic value of TIMM50 expression in colorectal cancer.Archives of medical science : AMS · 2023
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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

12 authors at 1 institution in 1 country.

Shigenori KadowakiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Miho KakutaShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Shuhei TakahashiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Akemi TakahashiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Yoshiko AraiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Yoji NishimuraShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Toshimasa YatsuokaShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Akira OokiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Kensei YamaguchiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Keitaro MatsuoShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Kei MuroShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Kiwamu AkagiShigenori Kadowaki, Akira Ooki, Kensei Yamaguchi, Division of Gastroenterology, Saitama Cancer Center, Saitama 362-0806, Japan.
Saitama Cancer Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the prognostic role of KRAS and BRAF mutations after adjustment for microsatellite instability (MSI) status in Japanese colorectal cancer (CRC) population.

methodsWe assessed KRAS and BRAF mutations and MSI status in 813 Japanese patients with curatively resected, stage I-III CRC and examined associations of these mutations with disease-free survival (DFS) and overall survival (OS) using uni- and multivariate Cox proportional hazards models.

resultsKRAS and BRAF mutations were detected in 312 (38%) of 812 and 40 (5%) of 811 tumors, respectively. KRAS mutations occurred more frequently in females than in males (P=0.02), while the presence of BRAF mutations was significantly associated with the female gender (P=0.006), proximal tumor location (P<0.001), mucinous or poorly differentiated histology (P<0.001), and MSI-high tumors (P<0.001). After adjusting for relevant variables, including MSI status, KRAS mutations were associated with poorer DFS (HR=1.35; 95%CI: 1.03-1.75) and OS (HR=1.46; 95%CI: 1.09-1.97). BRAF mutations were poor prognostic factors for DFS (HR=2.20; 95%CI: 1.19-4.06) and OS (HR=2.30; 95%CI: 1.15-4.71). Neither the BRAF by MSI interaction test nor the KRAS by MSI interaction test yielded statistically significant results for DFS and OS.

conclusionKRAS and BRAF mutations are associated with inferior survival, independent of MSI status, in Japanese patients with curatively resected CRC.

Indexed as

ColectomyMutationAgedAsian PeopleBiomarkers, TumorColorectal NeoplasmsDisease-Free SurvivalFemaleGene FrequencyGenetic Predisposition to DiseaseHumansJapanKaplan-Meier EstimateMaleMicrosatellite InstabilityMiddle AgedBiomarkers, TumorBRAF protein, humanKRAS protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ras ProteinsBRAFColorectal cancerKRASMicrosatellite instabilityPrognostic factor

Identifiers

PMID25632202
PMCPMC4306173
OpenAlexW2097998307

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.