Evidence map›Paper›PMID 34236917›Full record

ArticleJCO global oncology2021

Colorectal Cancers in Low- and Middle-Income Countries-Demographic Pattern and Clinical Profile of 970 Patients Treated at a Tertiary Care Cancer Center in India.

S V S Deo, Sunil Kumar, Sandeep Bhoriwal, N K Shukla, Atul Sharma, Sanjay Thulkar, Prasenjit Das, Prakash Bhagat, Kunal Dhall, Sushmita Pathy and 1 more

Abstract read
In one paragraph

Article in JCO global oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

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

  1. Pooled it
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  12. EMMPRIN Correlated with β-CATENIN in Various t Stages of Colorectal Adenocarcinoma.Asian Pacific journal of cancer prevention : APJCP · 2025
    Observational
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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

11 authors.

S V S DeoDepartment of Surgical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0003-1955-8234
Sunil KumarDepartment of Surgical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-9942-3403
Sandeep BhoriwalDepartment of Surgical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-9184-4254
N K ShuklaDepartment of Surgical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.
Atul SharmaDepartment of Medical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-0372-5336
Sanjay ThulkarDepartment of Radio-Diagnosis, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.
Prasenjit DasDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-2420-8573
Prakash BhagatDepartment of Surgical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.
Kunal DhallDepartment of Surgical Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0003-0884-7401
Sushmita PathyDepartment of Radiation Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0001-8794-9494
B K MohantiDepartment of Radiation Oncology, Dr BRAIRCH, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0002-7553-0984

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGlobally, colorectal cancer (CRC) ranks third in terms of incidence and second in terms of mortality. A relatively low burden of CRC has been reported from low- and middle-income countries (LMIC), and there is a paucity of publications related to CRC from LMIC. PATIENTS AND

methodsA computerized comprehensive structured CRC clinical database was developed. All the patients with histopathologically proven CRC undergoing either curative and palliative multimodality management or surgical interventions between 2000 and 2019 were included in the study. A descriptive analysis of the demographic profile and clinical spectrum was performed.

resultsA total of 970 patients of CRC were treated between 2000 and 2019. Of these, 401 patients (41.3%) had colon cancer and 569 (58.7%) had rectal cancer. The male-to-female ratio was 1.79:1. The mean age at presentation was 47.7 years. A total of 337 (34.7%) patients qualified as young CRC (≤ 40 years of age at diagnosis). The commonest symptom among patients with colon cancer was abdominal pain; 55.6% of patients had a right-sided primary tumor as compared with 42.2% with left-sided tumors. The commonest symptom among patients with rectal cancer was bleeding per rectum. The predominant location of the tumor was in the lower rectum (58%). Majority of patients with CRC presented with locally advanced stage II and III disease. The most common histologic subtype encountered for both colon and rectal cancers was adenocarcinoma (84.8% and 81.2%, respectively).

conclusionThis study has revealed certain important findings related to CRC in LMIC including a higher burden of young colorectal cancer, a relatively higher proportion of rectal cancers in comparison with colon cancer, a high percentage of patients with low-rectal cancer, and advanced stage at presentation.

Indexed as

Colorectal NeoplasmsDeveloping CountriesFemaleHumansIncidenceIndiaMaleTertiary Health Care

Identifiers

PMID34236917
PMCPMC8457848

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LicenceCC BY-NC-ND
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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.