Evidence map›Paper›PMID 28105076›Full record

ReviewEcancermedicalscience2016

Central nervous system metastasis secondary to colorectal cancer: a retrospective cohort study of 20 cases.

Sebastián Mondaca, Valentina Hornig, Pablo Munoz-Schuffenegger, Francisco Acevedo, Marcelo Garrido, Bruno Nervi

Open access · goldAbstract readReview
In one paragraph

Review in Ecancermedicalscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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 2 institutions in 2 countries.

Sebastián MondacaDepartamento de Hematología-Oncología, Oncología Médica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 319, Santiago, Chile 8330032.
Valentina HornigDepartamento de Hematología-Oncología, Oncología Médica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 319, Santiago, Chile 8330032.
Pablo Munoz-SchuffeneggerDepartamento de Hematología-Oncología, Radioterapia, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 319, Santiago, Chile 8330032; Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada; Department of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Francisco AcevedoDepartamento de Hematología-Oncología, Oncología Médica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 319, Santiago, Chile 8330032.
Marcelo GarridoDepartamento de Hematología-Oncología, Oncología Médica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 319, Santiago, Chile 8330032.
Bruno NerviDepartamento de Hematología-Oncología, Oncología Médica, Facultad de Medicina, Pontificia Universidad Católica de Chile, Diagonal Paraguay 319, Santiago, Chile 8330032.
Pontificia Universidad Católica de Chile · CLSunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInvolvement of the central nervous system (CNS) secondary to colorectal cancer is infrequent and associated with a poor prognosis. Its treatment is extrapolated from metastases of other origins as the information available on this scenario is limited. The goal of this study is to assess the clinical characteristics of a series of patients and determine the results in terms of progression-free survival (PFS) and global survival.

methodThe records of patients with CNS metastasis of colorectal origin who were treated in this facility between the years 2001 and 2016 were reviewed retrospectively.

results20 patients with CNS lesions of this origin were identified. Of these, 45% were male and 55% were female (average age 65.5 years). The histology corresponded to tubular adenocarcinoma in 95% of cases. Around 85% of the patients showed a neurological deficit, and their recursive partitioning analysis (RPA) classifications were 1 in 20%, 2 in 55%, and 3 in 25% of the cases studied. The treatments provided were: holocerebral radiotherapy (45%), stereotactic radiosurgery (25%), surgery followed by holocerebral radiotherapy (25%), and exclusively palliative care (5%). The PFS was 2.6 months from treatment of the CNS lesion, while the median survival was 3.8 months. The survival times for patients receiving different treatments were as follows: surgery plus holocerebral radiotherapy 16.2 months, stereotactic radiotherapy 12 months, and holocerebral radiotherapy 2.4 months (p = 0.003).

conclusionThe prognosis for patients with metastasis of colorectal origin is poor. The patients treated with surgery or stereotactic radiotherapy can have a greater survival.

Indexed as

cerebral metastasisColorectal neoplasianeurosurgeryradiosurgery

Identifiers

PMID28105076
PMCPMC5221642
OpenAlexW2560868717

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.