Evidence map›Paper›PMID 32150483›Full record

GuidelineJCO global oncology2020

Treatment of Patients With Late-Stage Colorectal Cancer: ASCO Resource-Stratified Guideline.

E Gabriela Chiorean, Govind Nandakumar, Temidayo Fadelu, Sarah Temin, Ashley Efrain Alarcon-Rozas, Suyapa Bejarano, Adina-Emilia Croitoru, Surbhi Grover, Pritesh V Lohar, Andrew Odhiambo and 6 more

Open access · goldAbstract readPractice Guideline
In one paragraph

Guideline in JCO global oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 8 pooled it
15.3field-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.

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

88 citing papers in PubMed, 8 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Exploring disparities in adherence to colorectal cancer clinical practice guidelines and associated survival outcomes: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
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  5. Treatment of Metastatic Colorectal Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Pooled it
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  8. Guideline
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28 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

16 authors at 13 institutions in 8 countries.

E Gabriela ChioreanUniversity of Washington, Fred Hutchinson Cancer Research Center, Seattle, WA.
Govind NandakumarColumbia Asia Hospitals, Bangalore, India.
Temidayo FadeluDana-Farber Cancer Institute, Boston, MA.
Sarah TeminAmerican Society of Clinical Oncology, Alexandria, VA.
Ashley Efrain Alarcon-RozasClinica Angloamericana, Lima, Peru.
Suyapa BejaranoExcelmedica, Liga Contra el Cancer Honduras, San Pedro Sulal, Honduras.
Adina-Emilia CroitoruFundeni Clinical Institute, Bucharest, Romania.
Surbhi GroverUniversity of Pennsylvania, Philadelphia, PA.
Pritesh V LoharHCG Cancer Center, Vadodara, Gujarat, India.
Andrew OdhiamboUniversity of Nairobi, College of Health Sciences, Nairobi, Kenya.
Se Hoon ParkSamsung Medical Center, Seoul, South Korea.
Erika Ruiz GarciaInsituto Nacional De Cancerologia, Mexico City, Mexico.
Catherine TehPhilippine Association of HPB Surgeons/Makati Medical Center, Makati City, Philippines.
Azmina RoseIndependent Colorectal Patient Representative, London, United Kingdom.
Bassem ZakiDartmouth-Hitchcock Medical Center, Lebanon, NH.
Mary D ChamberlinDartmouth-Hitchcock Medical Center, Lebanon, NH.
Dartmouth–Hitchcock Medical Center · USAmerican Society of Clinical Oncology · USColumbia Asia · INDana-Farber Cancer Institute · USFred Hutch Cancer Center · USHCG Cancer Centre · INHonduras Foundation for Agricultural Research · HNInova Alexandria Hospital · USInstituto Nacional de Cancerología · MXInstitutul Clinic Fundeni · ROMakati Medical Center · PHSamsung Medical Center · KRUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo provide expert guidance to clinicians and policymakers in resource-constrained settings on the management of patients with late-stage colorectal cancer.

methodsASCO convened a multidisciplinary, multinational Expert Panel that reviewed existing guidelines, conducted a modified ADAPTE process, and used a formal consensus process with additional experts for two rounds of formal ratings.

resultsExisting sets of guidelines from four guideline developers were identified and reviewed; adapted recommendations from five guidelines form the evidence base and provided evidence to inform the formal consensus process, which resulted in agreement of ≥ 75% on all recommendations. RECOMMENDATIONS: Common elements of symptom management include addressing clinically acute situations. Diagnosis should involve the primary tumor and, in some cases, endoscopy, and staging should involve digital rectal exam and/or imaging, depending on resources available. Most patients receive treatment with chemotherapy, where chemotherapy is available. If, after a period of chemotherapy, patients become candidates for surgical resection with curative intent of both primary tumor and liver or lung metastatic lesions on the basis of evaluation in multidisciplinary tumor boards, the guidelines recommend patients undergo surgery in centers of expertise if possible. On-treatment surveillance includes a combination of taking medical history, performing physical examinations, blood work, and imaging; specifics, including frequency, depend on resource-based setting.Additional information is available at www.asco.org/resource-stratified-guidelines.

Indexed as

Colorectal NeoplasmsConsensusHumans

Identifiers

PMID32150483
PMCPMC7124947
OpenAlexW2915422452

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.