Evidence map›Paper›PMID 30404612›Full record

ArticleBMC cancer2018

The dynamic monitoring of CEA in response to chemotherapy and prognosis of mCRC patients.

Ping Yu, Mingyi Zhou, Jinglei Qu, Lingyu Fu, Xuedan Li, Ruimei Cai, Bo Jin, Yuee Teng, Jing Liu, Jing Shi and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

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  14. Behavioural Response Alteration inBiomarkers in cancer · 2019
    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 2 institutions in 1 country.

Ping YuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Mingyi ZhouDepartment of Gynecology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang, 110042, Liaoning Province, People's Republic of China.
Jinglei QuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Lingyu FuDepartment of Clinical Epidemiology and Evidence Based Medicine, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Xuedan LiDepartment of Radiology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Ruimei CaiDepartment of Radiology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Bo JinDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Yuee TengDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Jing LiuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Jing ShiDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, 110001, Liaoning Province, People's Republic of China.
Jingdong ZhangDepartment of Medical Oncology, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, No.44 Xiaoheyan Road, Dadong District, Shenyang, 110042, Liaoning Province, People's Republic of China. zhangjd0228@hotmail.com.ORCID http://orcid.org/0000-0002-0711-2764
First Hospital of China Medical University · CNLiaoning Cancer Hospital & Institute · CN

Funding

the Educational Commission of Liaoning Province of China 20060973the National Natural Science Foundation of China 81372532the Science and Technology Planning Project of Liaoning Province of China 2007225009-1the Science and Technology Planning Project of Liaoning Province of China 2011225019the Science and Technology Planning Project of Liaoning Province of China 2011404013-9the Science and Technology Planning Project of Liaoning Province of China 2013225079the Science and Technology Planning Project of Shenyang F15-139-9-27
6 · The paper itself

Abstract

backgroundThe role of carcinoembryonic antigen (CEA) change patterns in tumor response and long-term outcome is unclear. This study aimed to investigate the correlation between changes in CEA levels and tumor response as a potential prognostic model.

methodsCEA levels were determined from baseline to progression. A χ

resultsAll 114 patients were divided into five groups according to CEA change pattern (A: patients had an initial fast CEA decrease that then turned into a slow increase; B: patients had an initial slow CEA decrease that then turned to a slow increase; C: patients had a continually slow CEA increase; D: patients had a continually fast CEA increase; E: patients had an initial fast CEA decrease that then turned into a fast increase). Patients in Group A had the longest OS and PFS while Group E patients had the shortest OS. Baseline to week 12 and week 12 to week 18 change rates were consistent with tumor response and progression, respectively. An increase in CEA level by ≥2.7% from week 12 to 18 was an independent negative prognostic factor of OS.

conclusionsCEA changes mirror the tumor response to first-line chemotherapy and are associated with prognosis. CEA monitoring may be a substitute for computed tomography during the CEA stable period of treatment.

Indexed as

Biomarkers, TumorAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinoembryonic AntigenColorectal NeoplasmsCost-Benefit AnalysisDisease ProgressionFemaleHumansMaleMiddle AgedPrognosisProportional Hazards ModelsReproducibility of ResultsROC CurveBiomarkers, TumorCarcinoembryonic AntigenCEA changeMetastatic colorectal cancerProgressionTumor response

Identifiers

PMID30404612
PMCPMC6223053
OpenAlexW2899800237

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.