Evidence map›Paper›PMID 26727921›Full record

ArticleAnnals of surgical oncology2016

Angiogenesis-Related Markers and Prognosis After Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Metastatic Colorectal Cancer.

E M V de Cuba, I H J T de Hingh, N R Sluiter, R Kwakman, V M H Coupé, J A M Beliën, V J Verwaal, W J H J Meijerink, P M Delis-van Diemen, H J Bonjer and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. New insights in the pathology of peritoneal surface malignancy.Journal of gastrointestinal oncology · 2021
    Review
  8. Review
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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 4 institutions in 1 country.

E M V de CubaDepartment of Surgical Oncology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
I H J T de HinghDepartment of Surgery, Catharina Ziekenhuis Eindhoven, Eindhoven, The Netherlands.
N R SluiterDepartment of Surgical Oncology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
R KwakmanDepartment of Surgical Oncology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
V M H CoupéDepartment of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands.
J A M BeliënDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
V J VerwaalDepartment of Surgery, Catharina Ziekenhuis Eindhoven, Eindhoven, The Netherlands.
W J H J MeijerinkDepartment of Surgical Oncology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
P M Delis-van DiemenDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
H J BonjerDepartment of Surgical Oncology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands.
G A MeijerDepartment of Pathology, VU University Medical Center, Amsterdam, The Netherlands.
E A Te VeldeDepartment of Surgical Oncology, VU University Medical Center Amsterdam, Amsterdam, The Netherlands. e.tevelde@vumc.nl.
Amsterdam UMC Location VUmc · NLCatharina Ziekenhuis · NLRadboud University Nijmegen · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients presenting with peritoneal metastases (PM) of colorectal cancer (CRC) can be curatively treated with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). Angiogenesis is under control of multiple molecules of which HIF1a, SDF1, CXCR4, and VEGF are key players. We investigated these angiogenesis-related markers and their prognostic value in patients with PM arising from CRC treated with CRS and HIPEC. PATIENTS AND

methodsClinicopathological data and tissue specimens were collected in 2 tertiary referral centers from 52 patients who underwent treatment for isolated PM of CRC. Whole tissue specimens were subsequently analyzed for protein expression of HIF1a, SDF1, CXCR4, and VEGF by immunohistochemistry. Microvessel density (MVD) was analyzed by CD31 immunohistochemistry. The relationship between overall survival (OS) and protein expression as well as other clinicopathological characteristics was analyzed.

resultsUnivariate analysis showed that high peritoneal cancer index (PCI), resection with residual disease and high expression of VEGF were negatively correlated with OS after treatment with CRS and HIPEC (P < 0.01, P < 0.01, and P = 0.02, respectively). However, no association was found between the other markers and OS (P > 0.05). Multivariate analysis showed an independent association between OS and PCI, resection outcome and VEGF expression (multivariate HR: 6.1, 7.8 and 3.8, respectively, P ≤ 0.05).

conclusionsAn independent association was found between high VEGF expression levels and worse OS after CRS and HIPEC. The addition of VEGF expression to the routine clinicopathological workup could help to identify patients at risk for early treatment failure. Furthermore, VEGF may be a potential target for adjuvant treatment in these patients.

Indexed as

Chemotherapy, Cancer, Regional PerfusionCytoreduction Surgical ProceduresHyperthermia, InducedAdenocarcinomaAdenocarcinoma, MucinousAngiogenesis Modulating AgentsAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorCarcinoma, Signet Ring CellChemotherapy, AdjuvantColorectal NeoplasmsCombined Modality TherapyFemaleFollow-Up StudiesHumansImmunoenzyme TechniquesAngiogenesis Modulating AgentsBiomarkers, Tumor

Identifiers

PMID26727921
PMCPMC4819744
OpenAlexW2231754818

What OpenQuestion holds

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LicenceCC BY
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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.