Evidence map›Paper›PMID 30603128›Full record

ArticleJournal of gastrointestinal oncology2018

Stage II-III colon cancer: a comparison of survival calculators.

Riccardo Lemini, Kristopher Attwood, Stacey Pecenka, Juliet Grego, Aaron C Spaulding, Steven Nurkin, Dorin T Colibaseanu, Emmanuel Gabriel

Open access · hybridAbstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 10 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

8 authors at 2 institutions in 1 country.

Riccardo LeminiDepartment of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA.
Kristopher AttwoodDepartment of Biostatistics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Stacey PecenkaDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
Juliet GregoDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
Aaron C SpauldingDepartment of Health Sciences Research, Mayo Clinic, Jacksonville, FL, USA.
Steven NurkinDepartment of Surgical Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Dorin T ColibaseanuDepartment of Surgery, Division of Colon and Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA.
Emmanuel GabrielDepartment of Surgery, Division of Surgical Oncology, Mayo Clinic, Jacksonville, FL, USA.
Mayo Clinic in Florida · USRoswell Park Comprehensive Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIndividualized postoperative survival calculators for patients with cancer can be an aid for predicting prognosis and clinical decision making, such as the use of adjuvant chemotherapy. The aim of this study was to compare existing survival calculators for colon cancer and determine their performance using an independent cohort of patients.

methodsA retrospective analysis of a multi-site institutional experience was performed on patients diagnosed with stage II-III colon cancer between January 2012 and March 2013. Patient survival rates were estimated using Roswell Park Comprehensive Cancer Center (RPCCC), Memorial Sloan Kettering Cancer Center (MSKCC), and MD Anderson Cancer Center (MDACC) calculators. These calculators vary in the number and breadth of variables that are included. The agreement between selected models was obtained through a scatter plot matrix and related intra-class correlation coefficient (ICC). Calculators' performances were compared using time-dependent receiver operating characteristic (ROC) curves and corresponding area under the curve (AUC) values.

resultsAfter the application of inclusion and exclusion criteria, a total of 97 patients were included in the analysis. Survival data were available for all patients. Median follow-up was 57.6 months, and the overall 5-year survival rate was 0.74 (95% CI: 0.64-0.82). Overall, the different calculators tended to predict survival similarly (ICC =0.017). However, there was variation among calculator performance with the RPCCC calculator showing the highest performance (AUC =0.913), followed by the MSKCC calculator (AUC =0.803), and the MDACC calculator (AUC =0.644).

conclusionsPrognostic models incorporating a more comprehensive amount of patient and tumor specific variables may provide a more accurate estimate of individual patient survival rates. These tools can be an actual aid in the clinical practice, allowing physicians to personalize treatment and follow-up for patients with colon cancer.

Indexed as

calculatorsColon canceroverall survival

Identifiers

PMID30603128
PMCPMC6286941
OpenAlexW2886758828

What OpenQuestion holds

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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.