Evidence map›Paper›PMID 33586034›Full record

ArticleSurgery today2021

The updated five-year overall survival and long-term oxaliplatin-related neurotoxicity assessment of the FACOS study.

Emiko Takeshita, Keiichiro Ishibashi, Keiji Koda, Noritaka Oda, Kazuhiko Yoshimatsu, Yu Sato, Masatoshi Oya, Satoru Yamaguchi, Hideo Nakajima, Tomoyuki Momma and 6 more

Abstract read
PubMed Publisher
In one paragraph

Article in Surgery today, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Systematic review of long-term chemotherapy-induced peripheral neuropathy (CIPN) following adjuvant oxaliplatin for colorectal cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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

16 authors at 12 institutions in 1 country.

Emiko TakeshitaDepartment of Surgery, Saitama Medical Center, Dokkyo University, Kosihgaya, Japan.
Keiichiro IshibashiDepartment of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan.
Keiji KodaDepartment of Surgery, Teikyo University Chiba Medical Center, Ichihara, Japan.
Noritaka OdaColo-Proctological Institute, Matsuda Hospital, Hamamatsu, Japan.
Kazuhiko YoshimatsuDepartment of Surgery, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
Yu SatoDepartment of Surgery, Toho University Sakura Medical Center, Sakura, Japan.
Masatoshi OyaDepartment of Surgery, Saitama Medical Center, Dokkyo University, Kosihgaya, Japan.
Satoru YamaguchiFirst Department of Surgery, Dokkyo Medical University, Mibu, Japan.
Hideo NakajimaDepartment of Oncology, Ageo Central General Hospital, Ageo, Japan.
Tomoyuki MommaDepartment of Gastrointestinal Tract Surgery, Fukushima Medical University, Fukushima, Japan.
Hiroshi MaekawaDepartment of Surgery, Juntendo University Shizuoka Hospital, Izunokuni, Japan.
Masahiro TsubakiDepartment of Surgery, Yuai Memorial Hospital, Koga, Japan.
Takeshi YamadaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan.
Michiya KobayashiCancer Treatment Center, Kochi Medical School Hospital, Nankoku, Japan.
Kohji TanakayaDepartment of Surgery, Iwakuni Clinical Center, Iwakuni, Japan.
Hideyuki IshidaDepartment of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Japan. 05hishi@saitama-med.ac.jp.
Saitama Medical University · JPSocial Insurance Saitama Chuo Hospital · JPDokkyo Medical University · JPFukushima Medical University · JPHakodate Central General Hospital · JPIwakuni Medical Center · JPJuntendo University Shizuoka Hospital · JPKochi Medical School Hospital · JPNippon Medical School · JPTeikyo University Chiba Medical Center · JPToho University Medical Center Sakura Hospital · JPTokyo Women's Medical University Adachi Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe previously reported the first evidence of oncological benefits from a Japanese phase II trial of oxaliplatin-based adjuvant chemotherapy in patients with stage III colon cancer (the FACOS study). We herein report the long-term survival and persistent oxaliplatin-related peripheral sensory neuropathy (PSN) for patients enrolled in this trial.

methodsPatients were scheduled to receive the mFOLFOX6 or CAPOX regimen in the adjuvant setting. The five-year overall survival (OS) rate and persistent PSN were evaluated.

resultsA total of 130 patients (mFOLFOX6, n = 73; CAPOX, n = 57) were eligible. The 5-year OS rate was 91.4%. No significant difference in the OS rate was observed between regimens (mFOLFOX6, 94.4%; CAPOX, 87.4%; P = 0.25). The incidence of PSN during adjuvant treatment was 55.4% in grade 1 (G1), 30.0% in G2, and 4.6% in G3. No patients showed G3 PSN at 12 months, but G1 or G2 residual PSN after 5 years was observed in 21.8% (G1, 20%; G2, 1.8%).

conclusionsUpdated results from the FACOS study support the benefits of oxaliplatin-based adjuvant chemotherapy in terms of the long-term survival among Japanese patients with stage III colon cancer. However, long-term persistent PSN occurs in about 20% of survivors, counterbalancing the favorable OS.

Indexed as

Chemotherapy, AdjuvantSensory Receptor CellsAdultAgedAntineoplastic AgentsAntineoplastic Combined Chemotherapy ProtocolsColonic NeoplasmsFemaleFluorouracilHumansLeucovorinMaleMiddle AgedNeoplasm StagingNeurotoxicity SyndromesOrganoplatinum CompoundsAntineoplastic AgentsFluorouracilLeucovorinOrganoplatinum CompoundsOxaliplatinAdjuvant chemotherapyCAPOXmFOLFOX6Peripheral sensory neuropathyStage III colon cancer

Identifiers

PMID33586034
OpenAlexW3132223751

What OpenQuestion holds

Textmetadata
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.