Evidence map›Paper›PMID 30132068›Full record

ArticleInternational journal of colorectal disease2018

Benefit of cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy in patients with isolated peritoneal metastases from colorectal cancer.

Pompiliu Piso, Kathrin Stierstorfer, Michael Gerken, Monika Klinkhammer-Schalke

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article 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. It is linked to trial NCT04024917 (Implementation of a Cardiac Coherence Program to Reduce Anxiety in Patients With Peritoneal Carcinosis Treated by Surgery), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% 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.

NCT04024917 narecruitingnot on this mapstarted 2021, after this paper: background citation

Implementation of a Cardiac Coherence Program to Reduce Anxiety in Patients With Peritoneal Carcinosis Treated by Surgery: Randomized Pilot Study

TypeinterventionalSponsorInstitut du Cancer de Montpellier - Val d'AurelleRan2021 to 2026Enrolled60ConditionsPeritoneal Carcinomatosis, Pseudomyxoma Peritonei, Mesothelioma PeritoneumArmsCardiac coherence, Standard care
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 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

4 authors at 2 institutions in 1 country.

Pompiliu PisoDepartment of General and Visceral Surgery, Barmherzige Brueder Hospital Regensburg, Pruefeninger Str. 86, 93049, Regensburg, Germany. pompiliu.piso@barmherzige-regensburg.de.
Kathrin StierstorferTumor Center - University Institute of Quality Assurance and Health Services Research, Am BioPark 9, 93053, Regensburg, Germany.
Michael GerkenTumor Center - University Institute of Quality Assurance and Health Services Research, Am BioPark 9, 93053, Regensburg, Germany.ORCID http://orcid.org/0000-0001-8610-9303
Monika Klinkhammer-SchalkeTumor Center - University Institute of Quality Assurance and Health Services Research, Am BioPark 9, 93053, Regensburg, Germany.
University of Regensburg · DEKrankenhaus Barmherzige Brüder · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEver since Sugarbaker has established the cytoreductive surgery (CRS) in combination with intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC), there is a chance of cure for selected patients with peritoneal metastases from colorectal cancer. Objective of this study was to investigate the benefit of CRS and HIPEC compared to other therapy options in patients with isolated synchronous and metachronous peritoneal metastases of colorectal origin in terms of long-term overall survival.

methodsA retrospective population-based cohort study, including 370 patients diagnosed with isolated synchronous and metachronous peritoneal metastases of colorectal origin, was carried out. Therefore, data were acquired from the cancer registry at the Regensburg Tumor Center in Bavaria, Germany. Patients' overall survival (OAS) according to their therapy received was analyzed by means of Kaplan-Meier method and multivariable Cox regression.

resultsOverall median survival was 41.6 months for patients treated with CRS and HIPEC, compared with surgery and chemotherapy (24.0 months, log-rank p = 0.015), chemotherapy only (14.1 months, p < 0.001), surgery only (11.4 months, p < 0.001), and best supportive care (7.9 months, p < 0.001). This benefit persisted after adjustment for further risk factors in multivariable analysis.

conclusionThe effect of CRS and HIPEC stands out significantly in comparison to all other therapies. The multimodality approach should be a regular option for patients with isolated peritoneal metastases.

Indexed as

Cytoreduction Surgical ProceduresHyperthermia, InducedAgedColorectal NeoplasmsCombined Modality TherapyFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisPeritoneal NeoplasmsProportional Hazards ModelsColorectal cancerCytoreductive surgeryHyperthermic intraperitoneal chemotherapyPeritoneal metastasesPopulation-based analysisSurvival analysis

Identifiers

PMID30132068
OpenAlexW2888543428

What OpenQuestion holds

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Registered trials

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.