Evidence map›Paper›PMID 29766660›Full record

ArticleJournal of cachexia, sarcopenia and muscle2018

The deterioration of muscle mass and radiodensity is prognostic of poor survival in stage I-III colorectal cancer: a population-based cohort study (C-SCANS).

Justin C Brown, Bette J Caan, Jeffrey A Meyerhardt, Erin Weltzien, Jingjie Xiao, Elizabeth M Cespedes Feliciano, Candyce H Kroenke, Adrienne Castillo, Marilyn L Kwan, Carla M Prado

Open access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 4 pooled it
7.9field-weighted citation impact, top 2% 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

74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Justin C BrownDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Bette J CaanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Jeffrey A MeyerhardtDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Erin WeltzienDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Jingjie XiaoDepartment of Agricultural Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada.
Elizabeth M Cespedes FelicianoDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Candyce H KroenkeDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Adrienne CastilloDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Marilyn L KwanDivision of Research, Kaiser Permanente Northern California, Oakland, CA, USA.
Carla M PradoDepartment of Agricultural Food and Nutritional Science, University of Alberta, Edmonton, AB, Canada.
Kaiser Permanente · USDana-Farber Cancer Institute · USUniversity of Alberta · CA

Funding

Program in Cancer Research Outcomes Training (PCORT)R25CA092203 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI GAZELLE, G SCOTT · 2002 to 2016
$8.2M
Dietary And Lifestyle Determinants Of Colon Cancer Recurrence and SurvivalR01CA118553 · NCI · YALE UNIVERSITY · PI FUCHS, CHARLES S · 2007 to 2019
$4.4M
Training in Oncology Population Sciences (TOPS)T32CA092203 · NCI · DANA-FARBER CANCER INST · PI Nancy L Keating, JENNIFER W MACK · 2018 to 2026
$3.7M
Body Composition, Weight, and Colon Cancer SurvivalR01CA175011 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI CAAN, BETTE J · 2013 to 2017
$3.1M
Inflammation, Physical Activity, and Colon Cancer Recurrence and SurvivalR00CA218603 · NCI · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI BROWN, JUSTIN C · 2019 to 2021
$747k
Inflammation, Physical Activity, and Colon Cancer Recurrence and SurvivalK99CA218603 · NCI · DANA-FARBER CANCER INST · PI BROWN, JUSTIN C · 2017 to 2018
$260k
NCI NIH HHS K99 CA218603NCI NIH HHS R00 CA218603NCI NIH HHS R01 CA118553NCI NIH HHS R01 CA175011NCI NIH HHS R25 CA092203NCI NIH HHS T32 CA092203
6 · The paper itself

Abstract

backgroundMuscle abnormalities such as low muscle mass and low muscle radiodensity are well known risk factors for unfavourable cancer prognosis. However, little is known in regard to the degree and impact of longitudinal changes in muscle mass and radiodensity within the context of cancer. Here, we explore the relationship between muscle wasting and mortality in a large population-based study of patients with non-metastatic colorectal cancer (CRC).

methodsA total of 1924 patients with stage I-III CRC who underwent surgical resection in the Kaiser Permanente Northern California Health System were included. Muscle mass and radiodensity were quantified using computed tomography images obtained at diagnosis and after approximately 14 months. Cox proportional-hazards models were used to estimate hazard ratios for all-cause mortality.

resultsThe hazard ratio for all-cause mortality among patients with the largest deterioration in muscle mass (≥2 SD; ≥11.4% loss from baseline), as compared with those who remained stable (±1 SD; 0.0 ± 5.7%) was 2.15 [95% confidence interval (CI): 1.59-2.92; P < 0.001]. The hazard ratio for all-cause mortality among patients who experienced the largest deterioration in muscle radiodensity (≥2 SD; ≥20.2% loss from baseline), as compared with those who remained stable (±1 SD; 0.0 ± 10.1%) was 1.61 (95% CI: 1.20-2.15; P = 0.002).

conclusionsIn patients with stage I-III CRC, muscle wasting is a risk factor for mortality, independent of change in body mass and other body composition parameters.

Indexed as

Radiation ToleranceAdiposityAdultAgedAged, 80 and overBody CompositionCaliforniaColorectal NeoplasmsFemaleHumansMaleMiddle AgedMusclesNeoplasm StagingPrognosisProportional Hazards ModelsAdiposityBody compositionBody massPrognosisSurvival

Identifiers

PMID29766660
PMCPMC6104108
OpenAlexW2803833748

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.