Evidence map›Paper›PMID 31543678›Full record

ReviewWorld journal of gastroenterology2019

Neoadjuvant radiotherapy for rectal cancer management.

Gerard Feeney, Rishabh Sehgal, Margaret Sheehan, Aisling Hogan, Mark Regan, Myles Joyce, Michael Kerin

3 registry-linked trialsOpen access · hybridAbstract readReview
In one paragraph

Review in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 140 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed, 4 pooled it
11.8field-weighted citation impact, top 1% 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.

NCT06096493 unknown statusnot on this mapstarted 2023, after this paper: background citation

Predictors of Disease Free Survival After Curative Cancer Rectum Surgery

TypeobservationalSponsorSouth Valley UniversityRan2023 to 2023Enrolled200ConditionsRectal CancerArmscurative surgery for cancer rectum
NCT06097416 phase3not yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Phase III, Multi-institutional Randomised Trial Comparing Neoadjuvant Chemoradiotherapy (NARCT) and Total Neoadjuvant Therapy (TNT) in Patients With T3 (a/b/c) Rectal Cancer

TypeinterventionalSponsorSt. James's Hospital, IrelandRan2024 to 2030Enrolled100ConditionsRectal CancerArmsNeoadjuvant Chemoradiotherapy, Total Neoadjuvant Therapy
NCT06589388 recruitingnot on this mapstarted 2024, after this paper: background citation

ctDNA Monitoring to Predict the Efficacy of Total Neoadjuvant Therapy for Rectal Cancer

TypeobservationalSponsorGene SolutionsRan2024 to 2027Enrolled100ConditionsRectal Cancer, Rectal Cancer Stage II, Rectal Cancer Stage III
3 · Its place in the literature

Who cites it

140 citing papers in PubMed, 4 syntheses or guidelines pooled it, 268 citations in OpenAlex.

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  9. Decision making and outcomes in colorectal cancer and frailty: the DeCaF study.Annals of the Royal College of Surgeons of England · 2026
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80 more citing papers are in PubMed but not listed here.

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

7 authors at 1 institution in 1 country.

Gerard FeeneyDepartment of General/Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland. g.feeney3@outlook.com.
Rishabh SehgalDepartment of General/Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland.
Margaret SheehanDepartment of Histopathology, Galway University Hospital, Galway H91 YR71, Ireland.
Aisling HoganDepartment of General/Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland.
Mark ReganDepartment of General/Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland.
Myles JoyceDepartment of General/Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland.
Michael KerinDepartment of General/Colorectal Surgery, Galway University Hospital, Galway H91 YR71, Ireland.
University Hospital Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thirty per cent of all colorectal tumours develop in the rectum. The location of the rectum within the bony pelvis and its proximity to vital structures presents significant therapeutic challenges when considering neoadjuvant options and surgical interventions. Most patients with early rectal cancer can be adequately managed by surgery alone. However, a significant proportion of patients with rectal cancer present with locally advanced disease and will potentially benefit from down staging prior to surgery. Neoadjuvant therapy involves a variety of options including radiotherapy, chemotherapy used alone or in combination. Neoadjuvant radiotherapy in rectal cancer has been shown to be effective in reducing tumour burden in advance of curative surgery. The gold standard surgical rectal cancer management aims to achieve surgical removal of the tumour and all draining lymph nodes, within an intact mesorectal package, in order to minimise local recurrence. It is critically important that all rectal cancer cases are discussed at a multidisciplinary meeting represented by all relevant specialties. Pre-operative staging including CT thorax, abdomen, pelvis to assess for distal disease and magnetic resonance imaging to assess local involvement is essential. Staging radiology and MDT discussion are integral in identifying patients who require neoadjuvant radiotherapy. While Neoadjuvant radiotherapy is potentially beneficial it may also result in morbidity and thus should be reserved for those patients who are at a high risk of local failure, which includes patients with nodal involvement, extramural venous invasion and threatened circumferential margin. The aim of this review is to discuss the role of neoadjuvant radiotherapy in the management of rectal cancer.

Indexed as

Disease-Free SurvivalHumansLymph Node ExcisionLymph NodesMagnetic Resonance ImagingNeoadjuvant TherapyNeoplasm Recurrence, LocalNeoplasm StagingOrgans at RiskPatient SelectionPreoperative CareProctectomyRadiation InjuriesRectal NeoplasmsRectumTomography, X-Ray ComputedLow anterior resection syndromeNeoadjuvant therapyRectal cancerRobotic surgeryStomaTransanal endoscopic microsurgeryTrans-anal total mesorectal excisionWatch and wait

Identifiers

PMID31543678
PMCPMC6737323
OpenAlexW2971405778

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.