Evidence map›Paper›PMID 31735649›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2020

Histopathological growth patterns and positive margins after resection of colorectal liver metastases.

Pieter M H Nierop, Diederik J Höppener, Eric P van der Stok, Boris Galjart, Florian E Buisman, Vinod P Balachandran, William R Jarnagin, T Peter Kingham, Peter J Allen, Jinru Shia and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 30 citations in OpenAlex.

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  12. Contemporary evidence on colorectal liver metastases ablation: toward a paradigm shift in locoregional treatment.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2022
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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

15 authors at 4 institutions in 3 countries.

Pieter M H NieropDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Diederik J HöppenerDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Eric P van der StokDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Boris GaljartDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Florian E BuismanDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Vinod P BalachandranDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
William R JarnaginDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
T Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Peter J AllenDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
Jinru ShiaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA.
Peter B VermeulenGZA Hospitals, Antwerp, Belgium.
Bas Groot KoerkampDepartment of Surgery, Erasmus MC, Rotterdam, the Netherlands.
Dirk J GrünhagenDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Cornelis VerhoefDepartment of Surgical Oncology, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Michael I D'AngelicaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA. Electronic address: dangelim@mskcc.org.
Erasmus MC Cancer Institute · NLMemorial Sloan Kettering Cancer Center · USErasmus University Rotterdam · NLGZA Ziekenhuizen Campus Sint-Augustinus · BE

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundHistopathological growth patterns (HGPs) of colorectal liver metastases (CRLM) may be an expression of biological tumour behaviour impacting the risk of positive resection margins. The current study aimed to investigate whether the non-desmoplastic growth pattern (non-dHGP) is associated with a higher risk of positive resection margins after resection of CRLM.

methodsAll patients treated surgically for CRLM between January 2000 and March 2015 at the Erasmus MC Cancer Institute and between January 2000 and December 2012 at the Memorial Sloan Kettering Cancer Center were considered for inclusion.

resultsOf all patients (n = 1302) included for analysis, 13% (n = 170) had positive resection margins. Factors independently associated with positive resection margins were the non-dHGP (odds ratio (OR): 1.79, 95% confidence interval (CI): 1.11-2.87, p = 0.016) and a greater number of CRLM (OR: 1.15, 95% CI: 1.08-1.23 p < 0.001). Both positive resection margins (HR: 1.41, 95% CI: 1.13-1.76, p = 0.002) and non-dHGP (HR: 1.57, 95% CI: 1.26-1.95, p < 0.001) were independently associated with worse overall survival.

conclusionPatients with non-dHGP are at higher risk of positive resection margins. Despite this association, both positive resection margins and non-dHGP are independent prognostic indicators of worse overall survival.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsHepatectomyHumansMargins of ExcisionPrognosis

Identifiers

PMID31735649
PMCPMC7888172
OpenAlexW2894683209

What OpenQuestion holds

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Read underepoch 390

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.