Evidence map›Paper›PMID 28280611›Full record

ArticleJournal of gastrointestinal oncology2017

Baseline hemoglobin and liver function predict tolerability and overall survival of patients receiving radioembolization for chemotherapy-refractory metastatic colorectal cancer.

Andrew S Kennedy, David Ball, Steven J Cohen, Michael Cohn, Douglas M Coldwell, Alain Drooz, Edward Ehrenwald, Samir Kanani, Fred M Moeslein, Charles W Nutting and 6 more

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
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  9. Review
  10. 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

16 authors.

Andrew S KennedySarah Cannon Research Institute, Nashville, TN 37203, USA.
David BallFox Chase Cancer Center, Philadelphia, PA 19111, USA.
Steven J CohenFox Chase Cancer Center, Philadelphia, PA 19111, USA.
Michael CohnRadiology Associates of Hollywood, Pembroke Pines, FL 33024, USA.
Douglas M ColdwellJames Graham Brown Cancer Center, University of Louisville, Louisville, KY 40202, USA.
Alain DroozFairfax Radiological Consultants, Fairfax, VA 22031, USA.
Edward EhrenwaldAbbott North-western Hospital, Minneapolis, MN 55403, USA.
Samir KananiInova Fairfax Hospital, Annandale, VA 22003, USA.
Fred M MoesleinUniversity of Maryland Medical Center, Baltimore, MD 21201, USA.
Charles W NuttingRadiology Imaging Associates, Englewood, CO 80113, USA.
Samuel G PutnamFox Chase Cancer Center, Philadelphia, PA 19111, USA.
Steven C RoseUC San Diego Moores Cancer Center, La Jolla, CA 92103-875, USA.
Michael SavinBeaumont Hospital, Royal Oak, MI 48073, USA.
Sabine SchirmCancer Centers of North Carolina, Cary, NC 27518, USA.
Navesh K SharmaUniversity of Maryland School of Medicine, Baltimore, MD 21201, USA.
Eric WangCharlotte Radiology, Charlotte, NC 28211, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with liver metastatic colorectal cancer (mCRC) often benefit from receiving

methodsA database containing retrospective review of consecutively treated patients of mCRC from July 2002 to December 2011 at 11 US institutions was used. Data collected included background characteristics, prior chemotherapy, surgery/ablation, radiotherapy, vascular procedures,

resultsA total of 606 patients (370 male; 236 female) were studied with a median follow-up was 8.5 mo. (IQR 4.3-15.6) after RE. Fewer than 11% of patients were treated outside recommended RE guidelines, with albumin being the most common, 10.5% grade 2 (<3-2.0 g/dL) at time of RE. All seven parameters showed statistically significant decreased median survivals with any grade >0 (P<0.001) across all lines of prior chemotherapy. Compared to grade 0, grade 2 albumin decreased overall survival 67%; for grade 2 total bilirubin a 63% drop occurred, and grade 1 HGB resulted in 66% lower median survival.

conclusionsReview of pre-RE laboratory parameters may aid in improving median survivals if correctable grade >0 values are addressed prior to radiation delivery. HGB <10 g/dL is a well-known negative factor in radiation response and is easily corrected. Improving other parameters is more challenging. These efforts are important in optimizing treatment response to liver radiotherapy.

Indexed as

90Y Microspheres, selective internal radiation therapy (SIRT), metastatic colorectal cancer (mCRC)internal radiation therapyliver-dominant metastatic colorectal cancerradioembolization (RE)radiotherapy, brachytherapy

Identifiers

PMID28280611
PMCPMC5334043

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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.