Evidence map›Paper›PMID 28652998›Full record

ArticleHepatobiliary surgery and nutrition2017

Association of primary tumor lymph node ratio with burden of liver metastases and survival in stage IV colorectal cancer.

Ali Ahmad, Jeffrey Reha, Abdul Saied, N Joseph Espat, Ponnandai Somasundar, Steven C Katz

Abstract read
In one paragraph

Article in Hepatobiliary surgery and nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Prediction model of colorectal cancer (CRC) lymph node metastasis based on intestinal bacteria.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  6. Article
  7. Prognostic Value of Lymph Node Ratio in Patients with Resected Synchronous Colorectal Liver Metastases and Less Than 12 Examined Lymph Nodes.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Prognostic value of the metastatic lymph node ratio in patients with pancreatic cancer.International journal of clinical and experimental pathology · 2019
    Article
  15. Article
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Ali AhmadDivision of Surgical Oncology, Roger Williams Medical Center, Providence, RI 02908, USA.
Jeffrey RehaDivision of Surgical Oncology, Roger Williams Medical Center, Providence, RI 02908, USA.
Abdul SaiedDivision of Surgical Oncology, Roger Williams Medical Center, Providence, RI 02908, USA.
N Joseph EspatDivision of Surgical Oncology, Roger Williams Medical Center, Providence, RI 02908, USA.
Ponnandai SomasundarDivision of Surgical Oncology, Roger Williams Medical Center, Providence, RI 02908, USA.
Steven C KatzDivision of Surgical Oncology, Roger Williams Medical Center, Providence, RI 02908, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary objective of our study was to assess the association of primary tumor lymph node ratio (LNR) in stage IV colorectal adenocarcinomas (CRC) with overall survival (OS) and the extent of metastatic disease in the liver.

methodsWe analyzed data on 53 stage IV CRC patients who underwent surgical resection of the primary tumor. The median LNR of 0.25 was used to stratify patients into high LNR (H-LNR) and low LNR (L-LNR) groups. Statistical comparison was performed using chi square test and multiple regression models. OS was calculated using the Kaplan-Meier (KM) method while cox regression was used for multivariate analysis.

resultsH-LNR status was associated with the presence of >3 liver metastases (LM) [odds ratio (OR): 2.43, P=0.047] and bilobar LM (OR: 3.94, P=0.039). The OS in H-LNR patients was significantly worse in the entire cohort compared to L-LNR (9%

conclusionsIn stage IV CRC, LNR is associated with the extent of hepatic tumor burden and was an independent predictor of survival in patients undergoing liver resection.

Indexed as

Colorectal cancer (CRC)liver metastases (LM)lymph node ratio (LNR)survival

Identifiers

PMID28652998
PMCPMC5474451

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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.