Evidence map›Paper›PMID 33611650›Full record

ArticleJournal of gastroenterology2021

Recurrence hazard of rectal cancer compared with colon cancer by adjuvant chemotherapy status: a nationwide study in Japan.

Yuka Ahiko, Dai Shida, Yozo Kudose, Yuya Nakamura, Konosuke Moritani, Shinichi Yamauchi, Kenichi Sugihara, Yukihide Kanemitsu, Japanese Study Group for Postoperative Follow-up of Colorectal Cancer

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Article in Journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

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  5. Cystathionine-The Journal of international medical research · 2024
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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

9 authors at 2 institutions in 1 country.

Yuka AhikoDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Dai ShidaDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan. dshida@g.ecc.u-tokyo.ac.jp.ORCID 0000-0003-3294-1924
Yozo KudoseDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Yuya NakamuraDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Konosuke MoritaniDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Shinichi YamauchiDepartment of Surgical Oncology, Tokyo Medical and Dental University, Tokyo, Japan.
Kenichi SugiharaTokyo Medical and Dental University, Tokyo, Japan.
Yukihide KanemitsuDepartment of Colorectal Surgery, National Cancer Center Hospital, Tokyo, Japan.
Japanese Study Group for Postoperative Follow-up of Colorectal Cancer
Tokyo National Hospital · JPTokyo Medical and Dental University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies of stage III colon cancer using the hazard function demonstrated that the risk of recurrence in patients with adjuvant chemotherapy never exceeded that of patients without adjuvant chemotherapy. However, it is unclear whether the same can be said for rectal cancer patients and whether adjuvant chemotherapy reduces recurrence. This study aimed to compare the recurrence hazard of stage III rectal cancer with that of colon cancer by adjuvant chemotherapy status using the hazard function, a method that allows for the assessment of instantaneous risk of recurrence over time.

methodsThis retrospective nationwide study consisted of 10,356 patients with stage III colorectal cancer who underwent curative resection between January 1997 and December 2012 in Japan. Recurrence hazards of rectal and colon cancers were compared between patients treated with adjuvant chemotherapy and those who were not. Analyses in which recurrence was divided into local and distant recurrence were also performed.

resultsThe hazard rate of recurrence in rectal cancer patients with adjuvant chemotherapy was consistently lower throughout the follow-up period, and the peak time of recurrence later, compared to patients without adjuvant chemotherapy (peaked at 15.7 vs. 7.1 months). Adjuvant chemotherapy also strongly suppressed distant recurrence but not local recurrence in rectal cancer patients. Similar results were observed in colon cancer patients.

conclusionsOur results using nationwide real-world data in Japan suggest that, similar to what is observed in colon cancer patients, adjuvant chemotherapy delays the peak of recurrence and suppresses distant recurrence in stage III rectal cancer patients.

Indexed as

AgedAged, 80 and overChemotherapy, AdjuvantColonic NeoplasmsFemaleHumansJapanKaplan-Meier EstimateLogistic ModelsMaleRectal NeoplasmsRecurrenceRetrospective StudiesAdjuvant chemotherapyColon cancerHazard functionRectal cancerRecurrence hazard

Identifiers

PMID33611650
OpenAlexW3131501436

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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.