Evidence map›Paper›PMID 30190571›Full record

ArticleScientific reports2018

The Impact of Blood Transfusion on Recurrence and Mortality Following Colorectal Cancer Resection: A Propensity Score Analysis of 4,030 Patients.

Hsiang-Ling Wu, Ying-Hsuan Tai, Shih-Pin Lin, Min-Ya Chan, Hsiu-Hsi Chen, Kuang-Yi Chang

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 6 pooled it
5.3field-weighted citation impact, top 3% 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, 6 syntheses or guidelines pooled it, 123 citations in OpenAlex.

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

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

6 authors at 5 institutions in 1 country.

Hsiang-Ling WuDepartment of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Ying-Hsuan TaiDepartment of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Shih-Pin LinDepartment of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Min-Ya ChanDepartment of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan.
Hsiu-Hsi ChenDivision of Biostatistics, Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan.
Kuang-Yi ChangDepartment of Anesthesiology, Taipei Veterans General Hospital, Taipei, Taiwan. kychang@vghtpe.gov.tw.
National Yang Ming Chiao Tung University · TWNational Taiwan University · TWTaipei Medical University-Shuang Ho Hospital · TWTaipei Veterans General Hospital · TWYuli Veterans Hospital · TW

Funding

Ministry of Science and Technology, Taiwan (Ministry of Science and Technology of Taiwan) MOST104-2314-B-075-015
6 · The paper itself

Abstract

Whether blood transfusion exacerbates cancer outcomes after surgery in humans remains inconclusive. We utilized a large cohort to investigate the effect of perioperative blood transfusion on cancer prognosis following colorectal cancer (CRC) resection. Patients with stage I through III CRC undergoing tumour resection at a tertiary medical center between 2005 and 2014 were identified and evaluated through August 2016. Propensity score matching was used to cancel out imbalances in patient characteristics. Postoperative disease-free survival (DFS) and overall survival (OS) were analysed using Cox regression model. A total of 4,030 and 972 patients were analysed before and after propensity score matching. Cox regression analyses demonstrated blood transfusion associated with shorter DFS and OS before and after matching (hazard ratio: 1.41, 95% CI: 1.2-1.66 for DFS; 1.97, 95% CI: 1.6-2.43 for OS). Larger transfusion volume was linked to higher overall mortality (≤4 units vs. nil, HR = 1.58; >4 units vs. nil, HR = 2.32) but not more cancer recurrence. Preoperative anemia was not associated with decreased survival after adjusting covariates. Perioperative blood transfusion was associated with worse cancer prognosis after curative colorectal resection, independently of anemia status. Strategies aimed at minimizing transfusion requirements should be further developed.

Indexed as

Blood TransfusionAgedAged, 80 and overColorectal NeoplasmsDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesSurvival Rate

Identifiers

PMID30190571
PMCPMC6127303
OpenAlexW2889085653

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.