Evidence map›Paper›PMID 32086781›Full record

ArticleJournal of gastrointestinal cancer2021

Effect of Time to Surgery of Colorectal Liver Metastases on Survival.

Emerson Y Chen, Skye C Mayo, Thomas Sutton, Matthew R Kearney, Adel Kardosh, Gina M Vaccaro, Kevin G Billingsley, Charles D Lopez

Abstract read
In one paragraph

Article in Journal of gastrointestinal cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Time to surgery in patients with colorectal liver metastases.World journal of surgical oncology · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Minimizing Population Health Loss in Times of Scarce Surgical Capacity During the Coronavirus Disease 2019 Crisis and Beyond: A Modeling Study.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2021
    Article
  11. Article
  12. 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.

Emerson Y ChenDivision of Hematology Oncology, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OC14HO, Portland, OR, 97239, USA. cheem@ohsu.edu.ORCID https://orcid.org/0000-0003-3035-4478
Skye C MayoDivision of Surgical Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, 97239, USA.
Thomas SuttonDivision of Surgical Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, 97239, USA.
Matthew R KearneyDivision of Hematology Oncology, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OC14HO, Portland, OR, 97239, USA.
Adel KardoshDivision of Hematology Oncology, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OC14HO, Portland, OR, 97239, USA.
Gina M VaccaroDivision of Hematology Oncology, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OC14HO, Portland, OR, 97239, USA.
Kevin G BillingsleyDivision of Surgical Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland, OR, 97239, USA.
Charles D LopezDivision of Hematology Oncology, Knight Cancer Institute, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, OC14HO, Portland, OR, 97239, USA. lopezc@ohsu.edu.ORCID https://orcid.org/0000-0002-0921-4932

Funding

Oregon Clinical and Translational Research Institute - The National COVID Cohort Collaborative (N3C)UL1TR002369 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Cynthia D Morris, Christopher G. Slatore · 2017 to 2026
$78.4M
Foundation for the National Institutes of Health UL1TR0002369NCATS NIH HHS UL1 TR002369
6 · The paper itself

Abstract

purposeResection of liver-only colorectal liver metastases (CRLM) with perioperative chemotherapy is potentially curative. Specific primary tumor and liver metastasis characteristics have been validated to estimate the risk of recurrence. We hypothesize that the time interval from diagnosis of CRLM to surgery, or time to surgery (TTS), is clinically prognostic.

methodsPatients from a prospectively maintained institutional database at a Comprehensive Cancer Center from May 2003 to January 2018 were reviewed. Clinicopathologic, perioperative treatment, and TTS data were collected. TTS was categorized into short (< 3 months), intermediate (3-6 months), and long (> 6 months) intervals.

resultsTwo hundred eighty-one patients were identified. While overall survival (OS) was similar across TTS, postoperative overall survival (postoperative OS) of long TTS was associated with worse survival, 44 months (95% CI, 34-52) compared to short TTS, 59 months (95% CI, 43-79), and intermediate TTS, 63 months (95% CI, 52-108), both p < 0.01. With regard to long-term OS, intermediate TTS had 5-year OS of 59% and 8-year OS of 43% compared to long TTS (5-year OS 53% and 8-year OS 18%) and short TTS (5-year OS 54% and 8-year OS 29%). Long TTS was negatively associated with postoperative OS on multivariate analysis (HR 1.6, p < 0.01) when adjusting for resection margin, CRLM size, age, and use of postoperative chemotherapy.

conclusionShort and intermediate TTS had similar survival although patients with intermediate TTS may have better odds of long-term OS. While long TTS was associated with worse survival, likely due to higher disease burden, long-term survivors were still observed.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantColorectal NeoplasmsDisease-Free SurvivalFemaleFollow-Up StudiesHepatectomyHumansKaplan-Meier EstimateLiver NeoplasmsMaleMiddle AgedNeoadjuvant TherapyChemotherapyClinical risk scoreColorectal cancerColorectal liver metastasesTime to surgery

Identifiers

PMID32086781
PMCPMC7900034

What OpenQuestion holds

Textmetadata
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.