Evidence map›Paper›PMID 29968021›Full record

Trial reportInternational journal of colorectal disease2018

Repeating of local therapy of distant metastases increases overall survival in patients with synchronous metastasized rectal cancer-a monocentric analysis.

Marlen Haderlein, Sebastian Lettmaier, Melanie Langheinrich, Axel Schmid, Sabine Semrau, Markus Hecht, Michael Beck, Daniela Schmidt, Robert Grützmann, Rainer Fietkau and 1 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Disease course of lung oligometastatic colorectal cancer treated with stereotactic body radiotherapy.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2020
    Article
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

11 authors at 1 institution in 1 country.

Marlen HaderleinDepartment of Radiation Oncology, University Hospital of Erlangen, Universitätsstraße 27, 91054, Erlangen, Germany. marlen.haderlein@uk-erlangen.de.ORCID http://orcid.org/0000-0002-7986-2169
Sebastian LettmaierDepartment of Radiation Oncology, University Hospital of Erlangen, Universitätsstraße 27, 91054, Erlangen, Germany.
Melanie LangheinrichDepartment of Surgery, University Hospital of Erlangen, Erlangen, Germany.
Axel SchmidDepartment of Radiology, University Hospital of Erlangen, Erlangen, Germany.
Sabine SemrauDepartment of Radiation Oncology, University Hospital of Erlangen, Universitätsstraße 27, 91054, Erlangen, Germany.
Markus HechtDepartment of Radiation Oncology, University Hospital of Erlangen, Universitätsstraße 27, 91054, Erlangen, Germany.
Michael BeckDepartment of Nuclear Medicine, University Hospital of Erlangen, Erlangen, Germany.
Daniela SchmidtDepartment of Nuclear Medicine, University Hospital of Erlangen, Erlangen, Germany.
Robert GrützmannDepartment of Surgery, University Hospital of Erlangen, Erlangen, Germany.
Rainer FietkauDepartment of Radiation Oncology, University Hospital of Erlangen, Universitätsstraße 27, 91054, Erlangen, Germany.
Axel DenzDepartment of Surgery, University Hospital of Erlangen, Erlangen, Germany.
Universitätsklinikum Erlangen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim was to evaluate the outcome of treatment-naive patients with synchronous metastatic rectal cancer after chemotherapy with FOLFOXIRI followed by local therapeutic procedures of all tumor lesions as complete as possible.

methodsWe reviewed data of 30 patients with synchronous distant metastatic rectal cancer who underwent chemotherapy with FOLFOXIRI and subsequent local therapy in our institution.

resultsMedian follow-up was 28 months (range: 8; 74). Cumulative overall survival (OS) and progression-free survival (PFS) was 93.3, 76.9, 55.6% and 46.2, 29.7, 29.7% after 1, 2, 4 years. Non-response to chemotherapy with FOLFOXIRI was associated with a highly significant decreased OS (p < 0.0001). The consistent use of local ablative procedures led to a statistically significant increase in OS (p < 0.0001), but not in PFS (p = 0.635). Patients with ≤ 4 distant metastases showed a better OS (p = 0.033).

conclusionsResponse to intensified first-line chemotherapy with FOLFOXIRI, treatment of the primary rectal tumor, and repeated thorough local ablative procedures in patients with synchronous metastasized rectal cancer may lead to long-term survival, even in a subset of patients with unresectable disease at initial diagnosis.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCamptothecinFemaleFluorouracilFollow-Up StudiesHumansLeucovorinMaleMiddle AgedOrganoplatinum CompoundsProgression-Free SurvivalRectal NeoplasmsSurvival AnalysisTreatment OutcomeCamptothecinFluorouracilLeucovorinOrganoplatinum CompoundsFOLFOXIRILocal ablative proceduresRectal cancerSynchronous distant metastases

Identifiers

PMID29968021
OpenAlexW2810101012

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.