Evidence map›Paper›PMID 29500795›Full record

ArticleUpdates in surgery2018

The impact of log odds of positive lymph nodes (LODDS) in colon and rectal cancer patient stratification: a single-center analysis of 323 patients.

Andrea Scarinci, Tatiana Di Cesare, Daniele Cavaniglia, Tiziano Neri, Michelle Colletti, Giulia Cosenza, Andrea Liverani

Open access · greenAbstract read
In one paragraph

Article in Updates in surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 15% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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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

7 authors at 2 institutions in 2 countries.

Andrea ScarinciDepartment of General Surgery, Regina Apostolorum Hospital, Via San Francesco d'Assisi 50, Albano Laziale, 00041, Rome, Italy. andreascarinci82@hotmail.com.
Tatiana Di CesareDepartment of General Surgery, Regina Apostolorum Hospital, Via San Francesco d'Assisi 50, Albano Laziale, 00041, Rome, Italy.
Daniele CavanigliaDepartment of General Surgery, Regina Apostolorum Hospital, Via San Francesco d'Assisi 50, Albano Laziale, 00041, Rome, Italy.
Tiziano NeriDepartment of General Surgery, Regina Apostolorum Hospital, Via San Francesco d'Assisi 50, Albano Laziale, 00041, Rome, Italy.
Michelle CollettiDepartment of Surgery, Colorectal Service, Memorial Sloan Kettering Cancer Center, New York, USA.
Giulia CosenzaDepartment of General Surgery, Regina Apostolorum Hospital, Via San Francesco d'Assisi 50, Albano Laziale, 00041, Rome, Italy.
Andrea LiveraniDepartment of General Surgery, Regina Apostolorum Hospital, Via San Francesco d'Assisi 50, Albano Laziale, 00041, Rome, Italy.
Ospedale Regina Apostolorum · ITMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Log odds of positive nodes (LODDS), defined as the log of the ratio between the number of positive nodes and the number of negative nodes, has been recently introduced as a tool in predicting prognosis. This study aims to establish the effective and prognostic value of LODDS in predicting the survival outcome of CRC patients undergoing surgical resection. The study population is represented by 323 consecutive patients with primary colon or rectal adenocarcinoma thatunderwent curative resection. LODDS values were calculated by empirical logistic formula, log(pnod + 0.5)/(tnod - pnod + 0.5). It was defined as the log of the ratio between the number of positive nodes and the number of negative nodes. The patients were divided into three groups: LODDS0 (≤ - 1.36), LODDS1 (> - 1.36 ≤ - 0.53) and LODDS2 (> - 0.53). Kaplan-Meier curve analyses showed 3-year OS rates of the patients staged by LODDS classification. These values were 88.3, 74.8 and 61.8% for LODDS0, LODDS1 and LODDS2, respectively (P ≤ 0.001). In a multivariate analysis, LODDS is an independent prognostic factor of 3-year OS. This is in contrast to pN stage and lymph node ratio, which shows no statistical significance. ROC analyses showed that LODDS predicted OS better than lymph node ratio. LODDS classification has a better prognostic effect than pN stage and lymph node ratio. LODDS offers a finer stratification and accurately predicts survival of CRC patients.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overColonic NeoplasmsFemaleFollow-Up StudiesHumansLogistic ModelsLymphatic MetastasisLymph Node ExcisionLymph NodesMaleMiddle AgedNeoplasm StagingPrognosisAdenocarcinomaColon cancerLODDSLymph nodesRectum cancer

Identifiers

PMID29500795
PMCPMC7590807
OpenAlexW2794400655

What OpenQuestion holds

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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.