Evidence map›Paper›PMID 28415583›Full record

ArticleOncotarget2017

Prognostic value of circulating endothelial cells in metastatic colorectal cancer.

Nuh N Rahbari, Sebastian Schölch, Ulrich Bork, Christoph Kahlert, Martin Schneider, Mohammad Rahbari, Markus W Büchler, Jürgen Weitz, Christoph Reissfelder

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  17. Endothelial cells in colorectal cancer.World journal of gastrointestinal oncology · 2019
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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

9 authors.

Nuh N RahbariDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.
Sebastian SchölchDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.
Ulrich BorkDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.
Christoph KahlertDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.
Martin SchneiderDepartment of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany.
Mohammad RahbariDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.
Markus W BüchlerDepartment of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany.
Jürgen WeitzDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.
Christoph ReissfelderDepartment of Gastrointestinal, Thoracic and Vascular Surgery, Technische Universität Dresden, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is urgent need for improved staging in patients with metastatic colorectal cancer (mCRC). In this study, we evaluated the prognostic value of circulating endothelial cells (CEC) in comparison with circulating tumor cells (CTC) in patients with mCRC amenable for potentially curative surgery.

methodsA total of 140 patients were enrolled prospectively. CTC and CEC were measured with the CellSearch System (Veridex, NJ, USA). Cut-off values were determined using ROC analyses. Prognostic factors were identified by Cox proportional hazards models.

resultsROC analyses revealed ≥ 21 CEC as cut-off levels for detection, which was present in 68 (49%). CEC detection was associated with female gender (p = 0.03) only, whereas CTC detection was associated with presence of the primary tumor (p = 0.007), metastasis size (p < 0.001), bilobar liver metastases (p = 0.02), CEA (p < 0.001) and CA 19-9 levels (p < 0.001). On multivariate analysis only CEC detection (HR 1.81; p = 0.03) and preoperative CA19-9 levels (HR 2.28, p = 0.005) were revealed as independent predictors of poor survival.

conclusionsCEC are of stronger prognostic value than CTC. Further studies are required to validate these results and to evaluate CEC as predictive biomarker for systemic therapy alone as well as in combination with other markers such as CA19-9.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorColorectal NeoplasmsEndothelial CellsFemaleHumansKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedNeoplastic Cells, CirculatingOutcome Assessment, Health CarePrognosisProportional Hazards ModelsBiomarkers, TumorCECcirculating endothelial cellscirculating tumor cellscolorectal cancerCTC

Identifiers

PMID28415583
PMCPMC5514924

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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.