Evidence map›Paper›PMID 32687265›Full record

ArticleCancer medicine2020

Systematic failure to operate on colorectal cancer liver metastases in California.

Mustafa Raoof, Zeljka Jutric, Sidra Haye, Philip H G Ituarte, Beiqun Zhao, Gagandeep Singh, Laleh Melstrom, Susanne G Warner, Bryan Clary, Yuman Fong

Abstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Surgical Resection of Colorectal Liver Metastases: Attitudes and Practice Patterns in the Deep South.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    Article
  9. Article
  10. Review
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

10 authors.

Mustafa RaoofDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.ORCID 0000-0003-4710-2226
Zeljka JutricDepartment of Surgery, University of California Irvine, Irvine, CA, USA.
Sidra HayeDepartment of Economics, University of California Irvine, Irvine, CA, USA.
Philip H G ItuarteDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.
Beiqun ZhaoDepartment of Surgery, University of San Diego, San Diego, CA, USA.ORCID 0000-0003-2181-3783
Gagandeep SinghDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.
Laleh MelstromDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.
Susanne G WarnerDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.
Bryan ClaryDepartment of Surgery, University of San Diego, San Diego, CA, USA.
Yuman FongDepartment of Surgery, City of Hope National Medical Center, Duarte, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite evidence that liver resection improves survival in patients with colorectal cancer liver metastases (CRCLM) and may be potentially curative, there are no population-level data examining utilization and predictors of liver resection in the United States.

methodsThis is a population-based cross-sectional study. We abstracted data on patients with synchronous CRCLM using California Cancer Registry from 2000 to 2012 and linked the records to the Office of Statewide Health Planning Inpatient Database. Quantum Geographic Information System (QGIS) was used to map liver resection rates to California counties. Patient- and hospital-level predictors were determined using mixed-effects logistic regression.

resultsOf the 24 828 patients diagnosed with stage-IV colorectal cancer, 16 382 (70%) had synchronous CRCLM. Overall liver resection rate for synchronous CRCLM was 10% (county resection rates ranging from 0% to 33%) with no improvement over time. There was no correlation between county incidence of synchronous CRCLM and rate of resection (R

conclusionIn this population-based study, only 10% of patients with liver metastases underwent liver resection. Furthermore, the study identifies wide variations and significant population-level disparities in the utilization of liver resection for CRCLM in California.

Indexed as

AdolescentAdultAgedAged, 80 and overBlack or African AmericanCaliforniaColorectal NeoplasmsCross-Sectional StudiesFemaleGeographic Information SystemsHepatectomyHumansIncidenceLiver NeoplasmsLogistic ModelsMaledisparityliver metastasesliver resectionpopulation-levelsurvival

Identifiers

PMID32687265
PMCPMC7476837

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Registered trials

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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.