Evidence map›Paper›PMID 33643536›Full record

ArticleWorld journal of gastrointestinal surgery2021

Colorectal cancer of the young displays distinct features of aggressive tumor biology: A single-center cohort study.

Matteo Mueller, Marcel André Schneider, Barla Deplazes, Daniela Cabalzar-Wondberg, Andreas Rickenbacher, Matthias Turina

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Article in World journal of gastrointestinal surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. A population-based study of palliative rectal cancer patients with an unremoved primary tumour: Symptoms, complications and management.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Matteo MuellerDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich 8091, Switzerland.
Marcel André SchneiderDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich 8091, Switzerland.
Barla DeplazesDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich 8091, Switzerland.
Daniela Cabalzar-WondbergDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich 8091, Switzerland.
Andreas RickenbacherDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich 8091, Switzerland.
Matthias TurinaDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich 8091, Switzerland. matthias.turina@usz.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, a decrease in incidence and mortality of colorectal cancer (CRC) has been observed in developed nations, presumably through public disease awareness and increased screening efforts. However, a rising incidence of CRC in young patients below the age of 50 years has been reported in several studies.

aimTo study tumor biology in CRC patients below 50 years of age.

methodsAll patients with CRC were prospectively enrolled in our single-center oncologic database from January 2013 to December 2018 and were grouped and analyzed according to age (≥ 50 and < 50 years). Clinical as well as histopathological features were analyzed and compared. The study was approved by the local Ethics Committee. Fisher's exact test or

resultsSeventeen percent of the 411 patients were younger than 50 years. Young patients were more often diagnosed with locally advanced T4-tumors and lymph node metastases (36.6% and 62%

conclusionDistinct histopathologic features of increased biologic aggressiveness are found in patients with CRC of young-onset. Those patients present more frequently with more advanced tumor stages compared to older patients. Features of aggressive tumor biology underscore the need for earlier uptake of routine screening measures.

Indexed as

Colorectal cancerColorectal cancer screeningColorectal surgeryTumor aggressivenessTumor biologyYoung-onset colorectal cancer

Identifiers

PMID33643536
PMCPMC7898186

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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.