Evidence map›Paper›PMID 25688918›Full record

ArticleBritish journal of cancer2015

KRAS and BRAF mutations are prognostic biomarkers in patients undergoing lung metastasectomy of colorectal cancer.

S Renaud, B Romain, P-E Falcoz, A Olland, N Santelmo, C Brigand, S Rohr, D Guenot, G Massard

Abstract read
In one paragraph

Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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.

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

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

  1. Pooled it
  2. Immune phenotype and RAS/BRAF status predict outcomes after lung metastasectomy for colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Effect ofGastroenterology report · 2023
    Article
  7. Article
  8. Article
  9. Results of redo pulmonary metastasectomy.Journal of thoracic disease · 2021
    Review
  10. Pulmonary metastasectomy in colorectal carcinoma.Journal of thoracic disease · 2021
    Review
  11. Review
  12. Article
  13. Review
  14. Cancers · 2020
    Review
  15. Article
  16. Review
  17. Article
  18. BRAF-Mutated Colorectal Cancer: Clinical and Molecular Insights.International journal of molecular sciences · 2019
    Review
  19. Article
  20. How theGastroenterology research and practice · 2018
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

S Renaud1] Department of Thoracic Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital, Strasbourg 67000, France [2] EA 3430: Tumoral progression and micro-environment, Translational and epidemiological approaches, Strasbourg University, Strasbourg 67000, France.
B Romain1] EA 3430: Tumoral progression and micro-environment, Translational and epidemiological approaches, Strasbourg University, Strasbourg 67000, France [2] Department of General and Digestive Surgery, Hôpital de Hautepierre, Strasbourg University Hospital, Strasbourg 67000, France.
P-E FalcozDepartment of Thoracic Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital, Strasbourg 67000, France.
A OllandDepartment of Thoracic Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital, Strasbourg 67000, France.
N SantelmoDepartment of Thoracic Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital, Strasbourg 67000, France.
C BrigandDepartment of General and Digestive Surgery, Hôpital de Hautepierre, Strasbourg University Hospital, Strasbourg 67000, France.
S RohrDepartment of General and Digestive Surgery, Hôpital de Hautepierre, Strasbourg University Hospital, Strasbourg 67000, France.
D GuenotEA 3430: Tumoral progression and micro-environment, Translational and epidemiological approaches, Strasbourg University, Strasbourg 67000, France.
G MassardDepartment of Thoracic Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital, Strasbourg 67000, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated KRAS (mKRAS (mutant KRAS)) and BRAF (mBRAF (mutant BRAF)) mutations to determine their prognostic potential in assessing patients with colorectal cancer (CRC) for lung metastasectomy.

methodsData were reviewed from 180 patients with a diagnosis of CRC who underwent a lung metastasectomy between January 1998 and December 2011.

resultsMolecular analysis revealed mKRAS in 93 patients (51.7%), mBRAF in 19 patients (10.6%). In univariate analyses, overall survival (OS) was influenced by thoracic nodal status (median OS: 98 months for pN-, 27 months for pN+, P<0.0001), multiple thoracic metastases (75 months vs 101 months, P=0.008) or a history of liver metastases (94 months vs 101 months, P=0.04). mBRAF had a significantly worse OS than mKRAS and wild type (WT) (P<0.0001). The 5-year OS was 0% for mBRAF, 44% for mKRAS and 100% for WT, with corresponding median OS of 15, 55 and 98 months, respectively (P<0.0001). In multivariate analysis, WT BRAF (HR: 0.005 (95% CI: 0.001-0.02), P<0.0001) and WT KRAS (HR: 0.04 (95% CI: 0.02-0.1), P<0.0001) had a significant impact on OS.

conclusionsmKRAS and mBRAF seem to be prognostic factors in patients with CRC who undergo lung metastasectomy. Further studies are necessary.

Indexed as

MetastasectomyMutationAdenocarcinomaAgedBiomarkers, TumorColorectal NeoplasmsFemaleHumansLung NeoplasmsMaleMiddle AgedPrognosisProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ras ProteinsBiomarkers, TumorBRAF protein, humanKRAS protein, humanProto-Oncogene ProteinsProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)ras Proteins

Identifiers

PMID25688918
PMCPMC4333487

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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.