Evidence map›Paper›PMID 27310704›Full record

ArticleBritish journal of cancer2016

Adverse prognostic impact of the CpG island methylator phenotype in metastatic colorectal cancer.

Yongjun Cha, Kyung-Ju Kim, Sae-Won Han, Ye Young Rhee, Jeong Mo Bae, Xianyu Wen, Nam-Yun Cho, Dae-Won Lee, Kyung-Hun Lee, Tae-Yong Kim and 7 more

Abstract 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 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

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  16. Clinical characteristics and prognosis of different primary tumor location in colorectal cancer: a population-based cohort study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Yongjun ChaDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Kyung-Ju KimDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Sae-Won HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Ye Young RheeDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Jeong Mo BaeDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Xianyu WenDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Nam-Yun ChoDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Dae-Won LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Kyung-Hun LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Tae-Yong KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Do-Youn OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Seock-Ah ImDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Yung-Jue BangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.
Seung-Yong JeongDepartment of Surgery, Seoul National University Hospital, Seoul, South Korea.
Kyu Joo ParkDepartment of Surgery, Seoul National University Hospital, Seoul, South Korea.
Gyeong Hoon KangDepartment of Pathology, Seoul National University College of Medicine, Seoul, South Korea.
Tae-You KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between the CpG island methylator phenotype (CIMP) and clinical outcomes in metastatic colorectal cancer remains unclear. We investigated the prognostic impact of CIMP in patients with metastatic colorectal cancer treated with systemic chemotherapy.

methodsEight CIMP-specific promoters (CACNA1G, IGF2, NEUROG1, RUNX3, SOCS1, CDKN2A, CRABP1, and MLH1) were examined. The CIMP status was determined by the number of methylated promoters as high (⩾5), low (1-4), and negative (0).

resultsA total of 153 patients were included (men/women, 103/50; median age, 61 years; range, 22-80 years). The CIMP status was negative/low/high in 77/ 69/7 patients, respectively. Overall survival (OS) was significantly different among the three CIMP groups, with median values of 35.7, 22.2, and 9.77 months for the negative, low, and high groups, respectively (P<0.001). For patients treated with fluoropyrimidine and oxaliplatin first-line chemotherapy (N=128), OS and progression-free survival (PFS) were significantly different among the three CIMP groups; the median OS was 37.9, 23.8, and 6.77 months for the negative, low, and high groups, respectively (P<0.001), while the median PFS was 9.97, 7.87, and 1.83 months, respectively (P=0.002). Response rates were marginally different among the three CIMP groups (53.4% vs 45.1% vs 16.7%, respectively; P=0.107). For patients treated with fluoropyrimidine and irinotecan second-line chemotherapy (N=86), only OS showed a difference according to the CIMP status, with median values of 20.4, 13.4, and 2.90 months for the negative, low, and high groups, respectively (P<0.001).

conclusionsThe CIMP status is a negative prognostic factor for patients with metastatic colorectal cancer treated with chemotherapy.

Indexed as

CpG IslandsDNA MethylationAdultAgedAged, 80 and overAntineoplastic AgentsColorectal NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm MetastasisPhenotypePrognosisYoung AdultAntineoplastic Agents

Identifiers

PMID27310704
PMCPMC4947699

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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.