Evidence map›Paper›PMID 31360223›Full record

ArticleTherapeutic advances in gastroenterology2019

The main contributor to the upswing of survival in locally advanced colorectal cancer: an analysis of the SEER database.

Yuqiang Li, Lilan Zhao, Cenap Güngör, Fengbo Tan, Zhongyi Zhou, Chenglong Li, Xiangping Song, Dan Wang, Qian Pei, Wenxue Liu

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

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  14. The Main Bottleneck for Non-Metastatic Pancreatic Adenocarcinoma in Past Decades: A Population-Based Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2020
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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

10 authors at 2 institutions in 2 countries.

Yuqiang LiDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.ORCID https://orcid.org/0000-0003-1517-3687
Lilan ZhaoDepartment of General Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Cenap GüngörDepartment of General Visceral and Thoracic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Fengbo TanDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Zhongyi ZhouDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Chenglong LiDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Xiangping SongDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Dan WangDepartment of Gastrointestinal Surgery, Xiangya Hospital, Central South University, Changsha, China.
Qian PeiDepartment of Gastrointestinal Surgery and National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, P.R. China.
Wenxue LiuDepartment of Cardiology and National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha, Hunan, P.R. China.
Central South University · CNUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no conclusion about the most important contributor to the upswing of locally advanced colorectal cancer (LACRC) survival.

methodsData from the Surveillance, Epidemiology, and End Results (SEER) database was extracted to identify colorectal adenocarcinoma cancer patients at stage II and III diagnosed in the two periods 1989-1990 and 2009-2010. The statistical methods included Pearson's chi-squared test, log-rank test, Cox regression model and propensity score matching.

resultsThe Cox regression model showed that hazard ratio (HR) of non-surgery dropped from 11.529 to 3.469 in right colon cancer (RCC), 5.214 to 2.652 in left colon cancer (LCC) and 3.275 to 3.269 in rectal cancer (RC) from 1989-1990 to 2009-2010. The 95% confidence intervals (CIs) for surgical resection in 2009-2010 were narrower than those in 1989-1990. HR became greater in LACRC without chemotherapy (from 1.337 to 1.779 in RCC, 1.269 to 2.017 in LCC, 1.317 to 1.811 in RC). There was no overlapping about the 95% CI of chemotherapy between the two groups. The progress of surgery was not linked to the improvement of overall survival (OS) of RCC (

conclusionsAdvancements in chemotherapy regimen were the main contributor to the upswing of CRC survival. The improvements in surgery had a limited effect on improvements in CRC survival.

Indexed as

adjuvant therapychemotherapylocally advanced colorectal cancerradiotherapysurgery

Identifiers

PMID31360223
PMCPMC6640067
OpenAlexW2963060404

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.