Evidence map›Paper›PMID 31361784›Full record

SynthesisPloS one2019

Intensive follow-up strategies after radical surgery for nonmetastatic colorectal cancer: A systematic review and meta-analysis of randomized controlled trials.

Yaqin Zhao, Cheng Yi, Yu Zhang, Fang Fang, Andrew Faramand

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. The association of cognitive coping style with patient preferences in a patient-led follow-up study among colorectal cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  6. Intensive follow-upWorld journal of gastrointestinal oncology · 2023
    Article
  7. Follow-up surveillance among colorectal cancer survivors of different sexual orientations.Journal of cancer survivorship : research and practice · 2022
    Article
  8. Article
  9. Article
  10. 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

5 authors.

Yaqin ZhaoWest China Hospital, Sichuan University, Chengdu, Sichuan, China.
Cheng YiWest China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yu ZhangAffiliated Hospital of Chengdu University, Chengdu, Sichuan, China.
Fang FangWest China Hospital, Sichuan University, Chengdu, Sichuan, China.ORCID 0000-0002-8711-1920
Andrew FaramandUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive follow-up after surgery for colorectal cancers is common in clinical practice, but evidence of a survival benefit is limited.

objectiveTo conduct a systematic review and meta-analysis on the effects of follow-up strategies for nonmetastatic colorectal cancer. DATA SOURCES: We searched Medline, Embase, and CENTRAL databases through May 30, 2018. STUDY SELECTION: We included randomized clinical trials evaluating intensive follow-up versus less follow-up in patients with nonmetastatic colorectal cancer.

interventionsIntensive follow-up. MAIN OUTCOMES MEASURES: Overall survival.

resultsThe analyses included 17 trials with a total of 8039 patients. Compared with less follow-up, intensive follow-up significantly improved overall survival in patients with nonmetastatic colorectal cancer after radical surgery (HR 0.85, 95% CI 0.74-0.97, P = 0.01; I2 = 30%; high quality). Subgroup analyses showed that differences between intensive-frequency and intensive-test follow-up (P = 0.04) and between short interval and long interval of follow-up (P = 0.02) in favor of the former one. LIMITATIONS: Clinical heterogeneity of interventions.

conclusionsFor patients with nonmetastatic colorectal cancer after curative resection, intensive follow-up strategy was associated with an improvement in overall survival compared with less follow-up strategy. Intensive-frequency follow-up strategy was associated with a greater reduction in mortality compared with intensive-test follow-up strategy.

Indexed as

Quality of LifeColorectal NeoplasmsColorectal SurgeryFollow-Up StudiesHumansPrognosisRandomized Controlled Trials as TopicSurvival Rate

Identifiers

PMID31361784
PMCPMC6667274

What OpenQuestion holds

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LicenceCC BY
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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.