Evidence map›Paper›PMID 33273596›Full record

ArticleScientific reports2020

Clinical features and KRAS mutation in colorectal cancer with bone metastasis.

Hyung Soon Park, You Jin Chun, Han Sang Kim, Jee Hung Kim, Choong-Kun Lee, Seung-Hoon Beom, Sang Joon Shin, Joong Bae Ahn

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Cancer metastasisFrontiers in bioengineering and biotechnology · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Exploring Potential Epigenetic Biomarkers for Colorectal Cancer Metastasis.International journal of molecular sciences · 2024
    Review
  8. Article
  9. Review
  10. Amino Acid Metabolism in Bone Metastatic Disease.Current osteoporosis reports · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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 at 3 institutions in 1 country.

Hyung Soon ParkDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
You Jin ChunDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Han Sang KimDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jee Hung KimDivision of Medical Oncology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Choong-Kun LeeDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Seung-Hoon BeomDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Sang Joon ShinDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Joong Bae AhnDivision of Medical Oncology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. vvswm513@yuhs.ac.
Yonsei University · KRCatholic University of Korea · KRGangnam Severance Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone metastasis is known as a poor prognostic factor in colorectal cancer (CRC), but its clinical manifestations and outcomes are uncertain. CRC with bone metastasis was searched from January 2006 to April 2016. Of 11,551 CRC patients, 321 (2.7%) patients had bone metastasis. Bone-only metastasis was found in only 8.7% of patients. Synchronous bone metastasis was present in 147 (45.8%) patients. In patients with metachronous bone metastasis, the median time from CRC diagnosis to bone metastasis (TTB) was 27.2 months. KRAS mutation status was a marginally significant factor affecting TTB (median TTB, KRAS wild-type or mutation: 29 or 25.8 months, respectively, P = 0.068). Skeletal-related events (SREs) were noted in 200 (62.3%) patients. Median overall survival (OS) from diagnosis of bone metastasis was 8.0 months. On multivariate analysis, multi-organ metastasis, peritoneal metastasis, neutrophil-to-lymphocyte ratio (NLR) ≥ 2.7, and alkaline phosphatase (ALP) ≥ 123 were independent factors for OS. Palliative chemotherapy prolonged survival in CRC patients with bone metastasis (HR 0.25, 95% CI 0.2-0.33). In conclusion, bone metastasis of CRC is rare, but it is related to SREs. Most patients have other organ metastasis and survival is 8.0 months. Attention should be paid to bone metastasis in CRC patients.

Indexed as

AdultAgedAged, 80 and overBone NeoplasmsColorectal NeoplasmsDisease-Free SurvivalFemaleHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisMutationPrognosisProportional Hazards ModelsProto-Oncogene Proteins p21(ras)KRAS protein, humanProto-Oncogene Proteins p21(ras)

Identifiers

PMID33273596
PMCPMC7713114
OpenAlexW3108867495

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.