Evidence map›Paper›PMID 28652999›Full record

ArticleHepatobiliary surgery and nutrition2017

Management of colorectal cancer with synchronous liver metastases: impact of multidisciplinary case conference review.

Kerollos N Wanis, Karen Pineda-Solis, Mauro E Tun-Abraham, Jake Yeoman, Stephen Welch, Kelly Vogt, Julie Ann M Van Koughnett, Michael Ott, Roberto Hernandez-Alejandro

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Kerollos N WanisDepartment of Surgery, Western University, London Health Sciences Centre, London, Canada.
Karen Pineda-SolisDepartment of Surgery, Western University, London Health Sciences Centre, London, Canada.
Mauro E Tun-AbrahamDepartment of Surgery, Western University, London Health Sciences Centre, London, Canada.
Jake YeomanSchulich School of Medicine and Dentistry, Western University, London, Canada.
Stephen WelchDepartment of Oncology, Western University, London Health Sciences Centre, London, Canada.
Kelly VogtDepartment of Surgery, Western University, London Health Sciences Centre, London, Canada.
Julie Ann M Van KoughnettDepartment of Surgery, Western University, London Health Sciences Centre, London, Canada.
Michael OttDepartment of Surgery, Western University, London Health Sciences Centre, London, Canada.
Roberto Hernandez-AlejandroDepartment of Surgery, University of Rochester, Rochester, New York, USA.
London Health Sciences Centre · CAWestern University · CAUniversity of Rochester · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile no evidence exists to support mandatory multidisciplinary case conference (MCC) review for patients with synchronous colorectal cancer and liver metastases, this unique population may benefit greatly from multidisciplinary discussion.

methodsWe retrospectively identified patients who underwent liver resection with curative intent for colorectal liver metastases (CRLM) at a tertiary center between January 2008 and June 2015. The characteristics of patients discussed at a weekly regional MCC were examined, and the effect of MCC review on treatment approach was assessed.

resultsSixty-six patients underwent elective surgery for synchronous colorectal cancer and liver metastases during the study period. Twenty-nine patients (44%) were presented at a MCC. Presentation was associated with greater likelihood of undergoing simultaneous or liver-first resection (P≤0.0001), with no difference in the extent of liver resection or location of primary tumor between the groups. A greater proportion of patients received chemotherapy and/or radiation following MCC discussion, without statistical significance.

conclusionsThe treatment approach for patients with synchronous colorectal cancer and liver metastases may be significantly altered based on MCC review. Multidisciplinary discussion is advocated in order to facilitate equal access to individualized care.

Indexed as

Colorectal neoplasmshepatectomyliver neoplasmsretrospective studies

Identifiers

PMID28652999
PMCPMC5474449
OpenAlexW2596720942

What OpenQuestion holds

Textmetadata
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.