Evidence map›Paper›PMID 30069332›Full record

ArticleJournal of thoracic disease2018

Surgery for pulmonary metastases from colorectal cancer: survival and prognostic factors.

Mamdoh Al-Ameri, Michael Persson, Per Bergman, Anders Franco-Cereceda, Ulrik Sartipy

Registry-linked trialAbstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03567538 (National Register Studies in Thoracic Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03567538 active not recruitingnot on this map

National Register Studies in Thoracic Surgery

TypeobservationalSponsorKarolinska University HospitalRan2018 to 2029Enrolled20,000ConditionsLung Cancer, Pulmonary Metastasis, SurgeryArmsThoracic surgery
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

Mamdoh Al-AmeriHeart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.
Michael PerssonHeart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.
Per BergmanHeart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.
Anders Franco-CerecedaHeart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.
Ulrik SartipyHeart and Vascular Theme, Karolinska University Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to describe overall survival following pulmonary metastasectomy for colorectal cancer (CRC) in Sweden, and to assess the discrimination of a recently proposed risk prediction model.

methodsIndividual-level data of 756 patients who underwent resection of pulmonary metastases from CRC between 2009 and 2015 were obtained from ThoR, a Swedish national quality register for thoracic surgery. We classified patients into three risk categories according to the number of preoperative risk factors [age, disease-free interval (DFI), presence of extrathoracic lesions, number of pulmonary metastases] established in a prior study. We estimated the hazard ratios (HRs) and 95% confidence interval (CI) by Cox regression and the restricted mean survival time difference as group contrast measures.

resultsDuring a median follow-up time of 2.9 years, 35% (268/756) patients died. At 5 years, overall survival was 56% (95% CI: 51-60%). In a Cox regression model with risk category as the only independent variable, the HR for all-cause mortality was 1.94 (95% CI: 1.38-2.72, P<0.001) and 4.35 (95% CI: 2.49-7.62, P<0.001) in the moderate- (n=558) and high-risk categories (n=32), respectively, versus the low-risk category (n=166). At 5 years, the differences in restricted mean survival time were 6 months (P<0.001) and 1.5 years (P<0.001) in the moderate- and high-risk categories, respectively, versus the low-risk category.

conclusionsFive-year survival after surgery for pulmonary metastases from CRC in Sweden was similar or higher compared with contemporary reports. A prognostic model, initially developed in Japanese patients, had excellent discrimination in an external validation cohort of Swedish patients.

Indexed as

colorectal cancer (CRC)long-term survivalPulmonary metastasectomy

Identifiers

PMID30069332
PMCPMC6051780

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Registered trials

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