Evidence map›Paper›PMID 34312298›Full record

ArticleJournal of clinical pathology2023

Clinicopathological significance of neutrophil-rich colorectal carcinoma.

Bruce G Rottmann, Natalie Patel, Muhammad Ahmed, Yanhong Deng, Maria Ciarleglio, Monika Vyas, Dhanpat Jain, Xuchen Zhang

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical pathology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  4. Article
  5. Article
  6. Neutrophil and Colorectal Cancer.International journal of molecular sciences · 2024
    Review
  7. [Emerging roles of neutrophils in the prognosis of colorectal cancer].Revista medica del Instituto Mexicano del Seguro Social · 2024
    Review
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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

8 authors at 2 institutions in 1 country.

Bruce G RottmannDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
Natalie PatelDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
Muhammad AhmedDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
Yanhong DengYale Center for Analytical Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.
Maria CiarleglioYale Center for Analytical Sciences, Yale University School of Medicine, New Haven, Connecticut, USA.
Monika VyasDepartment of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
Dhanpat JainDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA.
Xuchen ZhangDepartment of Pathology, Yale University School of Medicine, New Haven, Connecticut, USA xuchen.zhang@yale.edu.ORCID http://orcid.org/0000-0002-1484-4672
Yale University · USBeth Israel Deaconess Medical Center · US

Funding

Yale Liver CenterP30DK034989 · NIDDK · YALE UNIVERSITY · PI YASUKO IWAKIRI · 1986 to 2026
$31.1M
NIDDK NIH HHS P30 DK034989
6 · The paper itself

Abstract

aimsThe importance of the interaction between tumour cells and neutrophils has recently begun to emerge. However, the significance of tumour-infiltrating neutrophil (TIN) in colorectal carcinomas (CRCs) remains unclear. The aim of this study was to investigate the prognostic significance of TIN in CRCs.

methodsCRCs were evaluated for TIN and were classified as neutrophil-rich (NR), neutrophil-intermediate (NI) and neutrophil-poor (NP) based on the presence of >15, 5-15 and <5 TIN per 100 tumour cells, respectively. Various clinicopathological parameters were recorded in each case including age, gender, histological grade, tumour, node, metastasis (TNM) stage, tumour location and DNA mismatch repair (MMR) status.

resultsAmong the 348 CRC cases reviewed, 38 cases were NR, 43 cases were NI and 267 cases were NP. High TIN was associated with higher histological grade (p=0.0222), right-sided tumour location (p=0.0025), advanced TNM stage (p=0.0346) and higher rate of MMR-deficient CRCs (p=0.0027). Patients with NR CRCs had significantly poorer 5-year recurrence-free survival comparing to patients with NI or NP CRCs on Kaplan-Meier analysis (p=0.0001) and high TIN remained an independent risk factor with multivariate analysis (p=0.0137; HR: 1.930, 95% CI: 1.144 to 3.255). NR CRCs are more commonly seen in MMR-deficient than in MMR-proficient CRCs (p=0.0006). Patients with MMR-deficient NR CRCs showed similar 5-year recurrence-free survival compared with MMR-proficient NR CRCs.

conclusionsOur findings reveal that high TIN confers poorer patient prognosis in both MMR-proficient and MMR-deficient CRCs.

Indexed as

Colorectal NeoplasmsNeoplastic Syndromes, HereditaryDNA Mismatch RepairHumansNeutrophilsPrognosiscolorectal neoplasmsgastrointestinal neoplasmspathologyrectal neoplasmssurgical

Identifiers

PMID34312298
PMCPMC10910606
OpenAlexW3184303180

What OpenQuestion holds

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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.