Evidence map›Paper›PMID 28978067›Full record

ArticleOncotarget2017

A nomogram predicting pathological complete response to neoadjuvant chemoradiotherapy for locally advanced rectal cancer: implications for organ preservation strategies.

Yanwu Sun, Pan Chi, Huiming Lin, Xingrong Lu, Ying Huang, Zongbin Xu, Shenghui Huang, Xiaojie Wang

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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
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  6. Review
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  11. Watch-and-Wait as a Therapeutic Strategy in Rectal Cancer.Current colorectal cancer reports · 2018
    Review
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

8 authors.

Yanwu SunDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Pan ChiDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Huiming LinDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Xingrong LuDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Ying HuangDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Zongbin XuDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Shenghui HuangDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.
Xiaojie WangDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine predictors of pathological complete response (pCR) in locally advanced rectal cancer patients treated with neoadjuvant chemoradiotherapy (nCRT), and develop a predictive nomogram.

methodsA total of 522 locally advanced rectal cancer patients undergoing nCRT and curative resection between 2008 and 2014 were included. Uni- and multivariate analysis was performed to identify predictors of pCR. A nomogram was developed and validated by internal (n=425) and external validation (n=97).

resultsWith a median follow-up of 55 months, pCR was associated with better 5-year overall and disease-free survival, distant control, but similar local control. Logistic regression showed that post-CRT distance from the anal verge (OR =0.840, P = 0.022), post-CRT tumor size (OR = 0.565, P = 0.003), post-CRT circumferential extent of tumor (OR = 0.021, P < 0.001), pre-CRT CEA level (OR = 2.004, P = 0.033), and post-CRT CEA level (OR = 3.767, P = 0.038) were independently associated with pCR. A nomogram was developed with a C-index of 0.81 and 0.75 on internal and external validation, respectively.

conclusionpCR was associated with better long-term outcome. A nomogram was successfully developed to predict pCR. It could support decision-making in organ preservation strategies.

Indexed as

chemoradiotherapynomogrampathological complete responserectal cancer

Identifiers

PMID28978067
PMCPMC5620207

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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.