Evidence map›Paper›PMID 27195424›Full record

ArticleBritish journal of cancer2016

Clinical impact and network of determinants of tumour necrosis in colorectal cancer.

Sara A Väyrynen, Juha P Väyrynen, Kai Klintrup, Jyrki Mäkelä, Tuomo J Karttunen, Anne Tuomisto, Markus J Mäkinen

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

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

  1. Pooled it
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  18. Necrosis binding of Ac-LysEJNMMI research · 2021
    Article
  19. Journal of magnetic resonance imaging : JMRI · 2021
    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

7 authors at 2 institutions in 1 country.

Sara A VäyrynenDepartment of Pathology, Cancer and Translational Medicine Research Unit, University of Oulu, POB 5000, Oulu 90014, Finland.
Juha P VäyrynenDepartment of Pathology, Cancer and Translational Medicine Research Unit, University of Oulu, POB 5000, Oulu 90014, Finland.
Kai KlintrupDepartment of Surgery, Oulu University Hospital and Medical Research Center Oulu, POB 21, Oulu 90029, Finland.
Jyrki MäkeläDepartment of Surgery, Oulu University Hospital and Medical Research Center Oulu, POB 21, Oulu 90029, Finland.
Tuomo J KarttunenDepartment of Pathology, Cancer and Translational Medicine Research Unit, University of Oulu, POB 5000, Oulu 90014, Finland.
Anne TuomistoDepartment of Pathology, Cancer and Translational Medicine Research Unit, University of Oulu, POB 5000, Oulu 90014, Finland.
Markus J MäkinenDepartment of Pathology, Cancer and Translational Medicine Research Unit, University of Oulu, POB 5000, Oulu 90014, Finland.
University of Oulu · FIOulu University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe disease outcome in colorectal cancer (CRC) can vary in a wide range within the same tumour stage. The aim of this study was to clarify the prognostic value and the determinants of tumour necrosis in CRC.

methodsThe areal proportion (%) of tumour tissue showing coagulative necrosis was evaluated in a cohort of 147 CRC patients and correlated with basic clinicopathological characteristics, microvascular density (MVD), cell proliferation rate, KRAS and BRAF mutations, and survival. To validate the prognostic significance of tumour necrosis, an independent cohort of 418 CRC patients was analysed.

resultsTumour necrosis positively correlated with tumour stage (P=8.5E-4)-especially with T class (4.0E-6)-and inversely correlated with serrated histology (P=0.014), but did not significantly associate with cell proliferation rate, MVD, and KRAS or BRAF mutation. Abundant (10% or more) tumour necrosis associated with worse disease-free survival independent of stage and other biological or clinicopathological characteristics in both cohorts, and the adverse effect was directly related to its extent. High CD105 MVD was also a stage independent marker for worse disease-free survival.

conclusionsTumour necrosis percentage is a relevant histomorphological prognostic indicator in CRC. More studies are needed to disclose the mechanisms of tumour necrosis.

Indexed as

Cell ProliferationCohort StudiesColorectal NeoplasmsHumansMicrovesselsMutationNecrosisNeoplasm StagingNeovascularization, PathologicPrognosisProspective StudiesProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)Tissue Array AnalysisBRAF protein, humanKRAS protein, humanProto-Oncogene Proteins B-rafProto-Oncogene Proteins p21(ras)

Identifiers

PMID27195424
PMCPMC4984458
OpenAlexW2404113542

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.