Evidence map›Paper›PMID 29078882›Full record

ArticleThe Journal of surgical research2017

Safety and efficacy of combined resection of colorectal peritoneal and liver metastases.

Stephanie Downs-Canner, Yongli Shuai, Lekshmi Ramalingam, James F Pingpank, Matthew P Holtzman, Herbert J Zeh, David L Bartlett, Haroon A Choudry

Abstract read
In one paragraph

Article in The Journal of surgical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Impact of Synchronous Liver Resection on the Perioperative Outcomes of Patients Undergoing CRS-HIPEC.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018
    Article
  12. [Surgical treatment of peritoneal metastases of colorectal cancer].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 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.

Stephanie Downs-CannerDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia.
Yongli ShuaiThe University of Pittsburgh Cancer Institute Biostatistics Facility, Pittsburgh, Pensylvannia.
Lekshmi RamalingamDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia.
James F PingpankDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia.
Matthew P HoltzmanDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia.
Herbert J ZehDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia.
David L BartlettDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia.
Haroon A ChoudryDivision of Surgical Oncology, University of Pittsburgh, Pittsburgh, Pensylvannia. Electronic address: choudrymh@upmc.edu.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Postdoctoral Research Training in Biotherapy of CancerT32CA113263 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Udai S Kammula · 2006 to 2026
$3.6M
NCATS NIH HHS UL1 TR001857NCI NIH HHS T32 CA113263
6 · The paper itself

Abstract

backgroundTo determine if a select subgroup of patients with combined liver and peritoneal colorectal metastases would derive oncologic benefit from surgical resection as a component of multimodality treatment. MATERIALS AND

methodsWe retrospectively compared 32 patients with combined colorectal peritoneal and liver metastases (CRLM) and 173 patients with peritoneal metastases only (CRPM) undergoing cytoreductive surgery with hyperthermic intraperitoneal chemoperfusion (CRS-HIPEC). Kaplan-Meier survival curves and multivariate Cox-regression models identified prognostic factors affecting survival.

resultsMajor postoperative complications (Clavien-Dindo grades 3-5) occurred in 32% (CRLM) and 17% (CRPM) of patients (P = 0.08). After an estimated median follow-up from surgery of 57 mo, propensity score-adjusted median progression-free survival was 5.1 mo (CRLM) and 7.6 mo (CRPM), whereas median overall survival was 13 mo (CRLM) and 21 mo (CRPM). Multivariate Cox-regression analysis of the CRLM group identified number of liver metastases to be the only independent predictor of poor survival (hazard ratio: 2.3, P = 0.03), with a dramatic decrease in survival in patients with more than three liver metastases.

conclusionsSimultaneous resection of colorectal liver metastases at the time of cytoreductive surgery with hyperthermic intraperitoneal chemoperfusion for peritoneal metastases may be associated with worse survival, especially in patients with more than three liver metastases.

Indexed as

AdultAgedColorectal NeoplasmsCombined Modality TherapyCytoreduction Surgical ProceduresFemaleHumansHyperthermia, InducedLiverLiver NeoplasmsMaleMiddle AgedPeritoneal NeoplasmsPeritoneumRetrospective StudiesColorectal cancerCytoreductive surgeryHIPECMetastases

Identifiers

PMID29078882
PMCPMC5663460

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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.