Evidence map›Paper›PMID 30744591›Full record

ArticleBMC cancer2019

Prognostic value of adipose tissue and muscle mass in advanced colorectal cancer: a post hoc analysis of two non-randomized phase II trials.

Nicolas Charette, Caroline Vandeputte, Lieveke Ameye, Camille Van Bogaert, Jonathan Krygier, Thomas Guiot, Amélie Deleporte, Thierry Delaunoit, Karen Geboes, Jean-Luc Van Laethem and 6 more

2 registry-linked trialsAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
–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.

NCT01290926 phase2completednot on this map

Sorafenib Plus Capecitabine Efficacy Assessment in Patients With Advanced Pre-treated Colorectal Cancer

TypeinterventionalSponsorJules Bordet InstituteRan2011 to 2016Enrolled97ConditionsColorectal CancerArmschemotherapy
NCT01929616 phase2completednot on this map

Regorafenib Assessment in Refractory Advanced Colorectal Cancer

TypeinterventionalSponsorJules Bordet InstituteRan2013 to 2019Enrolled141ConditionsAdvanced Chemorefractory Colorectal AdenocarcinomaArmsregorafenib
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Pooled it
  5. Trial
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  11. The Influence of Muscle Morphology on Oncological Outcomes: A Review.Journal of frailty, sarcopenia and falls · 2025
    Review
  12. Article
  13. Development and Validation of anJCO clinical cancer informatics · 2025
    Article
  14. The role of adipogenic niche resident cells in colorectal cancer progression in relation to obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  15. Article
  16. Article
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  18. Radiodensities of Skeletal Muscle and Visceral Adipose Tissues Are Prognostic Factors in Clear-Cell Renal Cell Carcinoma.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
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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

16 authors.

Nicolas CharetteGastroenterology Department, Hôpital Civil Marie Curie, Charleroi, Belgium. nicolas.charette@chu-charleroi.be.ORCID http://orcid.org/0000-0002-0853-1004
Caroline VandeputteGastro-Oncology translational laboratory, Institut Jules Bordet - Université Libre de Bruxelles (ULB), Brussels, Belgium.
Lieveke AmeyeData centre, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Camille Van BogaertMedical Oncology Department, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Jonathan KrygierMedical Oncology Department, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Thomas GuiotNuclear Medicine Department, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Amélie DeleporteMedical Oncology Department, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Thierry DelaunoitOncology department, Hôpital de Jolimont, La Louvière, Belgium.
Karen GeboesService of digestive oncology, Universitair Ziekenhuis Gent, Ghent, Belgium.
Jean-Luc Van LaethemGastroenterology Medico-Surgical Department, Erasme University Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Marc PeetersOncology department, Universitair Ziekenhuis Antwerpen, Antwerpen, Belgium.
Gauthier DemolinGastroenterology Department, Centre Hospitalier Chrétien St-Joseph, Liège, Belgium.
Stéphane HolbrechtsOncology Department, CHU Ambroise Paré, Mons, Belgium.
Patrick FlamenNuclear Medicine Department, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Marianne PaesmansData centre, Institut Jules Bordet - Université Libre de Bruxelles (ULB), Brussels, Belgium.
Alain HendliszMedical Oncology Department, Institut Jules Bordet, Université Libre de Bruxelles (ULB), Brussels, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic value of body composition in cancer patients has been widely studied during the last decade. The main finding of these studies is that sarcopenia, or skeletal muscle depletion, assessed by CT imaging correlates with a reduced overall survival (OS). By contrast, the prognostic value of fat mass remains ill-defined. This study aims to analyze the influence of body composition including both muscle mass and adipose tissue on OS in a homogeneous population of advanced colorectal cancer (CRC) patients.

methodsAmong 235 patients with chemorefractory advanced CRC included in the SoMore and RegARd-C trials, body composition was assessed in 217 patients on baseline CT images. The relationship between body composition (sarcopenia, muscle density, subcutaneous and visceral fat index and density), body mass index (BMI) and OS were evaluated.

resultsPatients with a higher BMI had a better OS (≥30 versus < 30, HR: 0.50; 0.33-0.76). Those with low muscle index and muscle density had an increased mortality (HR: 2.06; 1.45-2.93 and HR: 1.54; 1.09-2.18, respectively). Likewise, low subcutaneous and visceral fat index were associated with an increased risk of dying (HR: 1.63; 1.23-2.17 and 1.48; 1.09-2.02 respectively), as were a high subcutaneous and visceral adipose tissue density (HR: 1.93; 1.44-2.57 and 2.40; 1.79-3.20 respectively). In multivariate analysis, a high visceral fat density was the main predictor of poor survival.

conclusionsOur results confirm the protective role of obesity in CRC patients at an advanced stage, as well as the negative prognostic impact of muscle depletion on survival. More importantly, our data show for the first time that visceral adipose tissue density is an important prognostic factor in metastatic CRC.

trial registrationNCT01290926 , 07/02/2011 and NCT01929616 , 28/08/2013.

Indexed as

Adipose TissueAdultAgedAged, 80 and overBiomarkersBody CompositionBody Mass IndexClinical Trials, Phase II as TopicColorectal NeoplasmsFemaleHumansImage Processing, Computer-AssistedMaleMiddle AgedMuscle, SkeletalOrgan SizeBiomarkersAdipose tissueChemotherapyColorectal cancerMyosteatosisObesityPrognosisSarcopenia

Identifiers

PMID30744591
PMCPMC6371452

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.