Evidence map›Paper›PMID 31155452›Full record

Observational studyHPB : the official journal of the International Hepato Pancreato Biliary Association2019

Prognostic significance of primary tumor sidedness in patients undergoing liver resection for metastatic colorectal cancer.

Emily K Elizabeth McCracken, Gregory P Samsa, Deborah A Fisher, Norma E Farrow, Karenia Landa, Kevin N Shah, Dan G Blazer, Sabino Zani

Abstract readObservational Study
In one paragraph

Observational study in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2019. 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
–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.

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.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

8 authors.

Emily K Elizabeth McCrackenDepartment of Surgery, Duke University Medical Center, Department of Surgery, Geisinger Medical Center, United States.
Gregory P SamsaDepartment of Biostatistics & Bioinformatics, Duke University Medical Center, United States.
Deborah A FisherDivision of Gastroenterology, Department of Medicine, Duke University Medical Center, United States.
Norma E FarrowDepartment of Surgery, Duke University Medical Center, United States.
Karenia LandaDepartment of Surgery, Duke University Medical Center, United States.
Kevin N ShahDivision of Advanced Oncologic and Gastrointestinal Surgery, Department of Surgery, Duke University Medical Center, United States.
Dan G BlazerDivision of Advanced Oncologic and Gastrointestinal Surgery, Department of Surgery, Duke University Medical Center, United States.
Sabino ZaniDivision of Advanced Oncologic and Gastrointestinal Surgery, Department of Surgery, Duke University Medical Center, United States. Electronic address: sabino.zani@duke.edu.

Funding

Translational Research in Surgical OncologyT32CA093245 · NCI · DUKE UNIVERSITY · PI ALLEN, PETER J, HARPOLE, DAVID H. · 2002 to 2020
$5.2M
NCI NIH HHS T32 CA093245
6 · The paper itself

Abstract

backgroundApproximately 38% of patients with colorectal cancer will develop isolated liver metastases. Sidedness of colon tumor is identified in non-metastatic and unresected metastatic cancers as predictive of survival, yet its dedicated analysis in resected liver metastases is minimal. Our primary aim was to assess whether left-sided primary tumors improve prognosis in stage IV cancer patients undergoing curative-intent liver metastasectomy; it was hypothesized that it would.

methodsThis is a retrospective, observational cohort study from 1996 to 2016 in a single tertiary-care facility. Survival from diagnosis was calculated via Kaplan-Meier method and compared between the right and left sides via log-rank analysis.

resultsMedian survival differs significantly between colorectal tumors of the right and left origins after hepatic metastasectomy in 612 patients. In patients with right-sided tumors, median survival from diagnosis was 4.5 years (IQR 4.1-5.3), and 6.3 years (IQR 5.6-6.9) in those with left tumors (HR 1.5, 95% CI 1.38-1.60, p < 0.001).

conclusionAs in studies on earlier-stage or unresected metastatic disease, tumor sidedness is an important prognostic factor in patient survival with liver metastasectomy. Clinical risk scores should include side of primary tumor. Further work is needed to determine the molecular basis for this difference.

Indexed as

AgedChemotherapy, AdjuvantCohort StudiesColorectal NeoplasmsFemaleHepatectomyHumansKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedNeoadjuvant TherapyRetrospective Studies

Identifiers

PMID31155452
PMCPMC7243173

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.