Evidence map›Paper›PMID 26149942›Full record

ArticleInternational journal of colorectal disease2015

Complications from the primary tumour are not related with survival in patients with synchronous stage IV colorectal cancer receiving chemotherapy without primary tumour resection.

Javier Suárez, Gabriel Marín, Ruth Vera, Begoña Oronoz, Fabiola Oteiza, Elena Mata

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Article in International journal of colorectal disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 10 citations in OpenAlex.

  1. Review
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

6 authors at 1 institution in 1 country.

Javier SuárezDepartment of General Surgery, Coloproctology Unit, Complejo Hospitalario de Navarra, c/ Irunlarrea 3, 31008, Pamplona, Spain. fj.suarez.alecha@cfnavarra.es.
Gabriel MarínDepartment of General Surgery, Coloproctology Unit, Complejo Hospitalario de Navarra, c/ Irunlarrea 3, 31008, Pamplona, Spain.
Ruth VeraDepartment of Medical Oncology, Complejo Hospitalario de Navarra, Pamplona, Spain.
Begoña OronozDepartment of General Surgery, Coloproctology Unit, Complejo Hospitalario de Navarra, c/ Irunlarrea 3, 31008, Pamplona, Spain.
Fabiola OteizaDepartment of General Surgery, Coloproctology Unit, Complejo Hospitalario de Navarra, c/ Irunlarrea 3, 31008, Pamplona, Spain.
Elena MataDepartment of Medical Oncology, Complejo Hospitalario de Navarra, Pamplona, Spain.
Complejo Hospitalario de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the rate of complications from the primary tumour (CPT) requiring surgical or endoscopic intervention during chemotherapy treatment in patients with incurable synchronous stage IV colorectal cancer, the possibility of predicting such complications and their influence on survival.

methodsOne hundred and twenty-five patients were initially treated with chemotherapy. Patients were grouped on the basis of appearance or not of CPT. We assessed the relation between age, gender, carcinoembryonic antigen (CEA) level, primary tumour location, alkaline phosphatase level, unilobar or bilobar liver involvement, presence of peritoneal carcinomatosis, the number of sites of metastatic disease, the addition of target therapies to chemotherapy, the ability to traverse the tumour with an endoscope and the appearance of complications due to the primary tumour and overall survival.

resultsMean age was 64.9 years, and 89 patients were men. Over a mean of 234 days, 25 patients (20 %) developed a CPT. Eighteen patients required surgery, and seven were treated exclusively by an endoscopic procedure. Mean survival was 15.8 months. We found a statistically relevant correlation between the inability to traverse the tumour with an endoscope and the occurrence of a CPT. There was no statistical differences in survival between both groups, but patients receiving target therapies had better survival.

conclusionTwenty percent of patients will suffer a CPT during chemotherapy treatment. The inability to pass the tumour with an endoscope can predict the CPT. Survival was only related to the addition of target therapies to chemotherapy.

Indexed as

AdultAgedAged, 80 and overAlkaline PhosphataseAntineoplastic AgentsCarcinoembryonic AntigenColonoscopyColorectal NeoplasmsFemaleHumansIntestinal ObstructionIntestinal PerforationLiver NeoplasmsMaleMiddle AgedNeoplasm StagingAlkaline PhosphataseAntineoplastic AgentsCarcinoembryonic AntigenColorectal cancerMetastatic colorectal cancerSelf-expanding metallic stentSynchronous metastatic colorectal cancerUpfront chemotherapy

Identifiers

PMID26149942
OpenAlexW2176538332

What OpenQuestion holds

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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.