Evidence map›Paper›PMID 34532102›Full record

ArticleJournal of gastrointestinal oncology2021

Microwave ablation for colorectal cancer metastasis to the liver: a single-center retrospective analysis.

Emily A Knott, Timothy J Ziemlewicz, Sam J Lubner, John F Swietlik, Sharon M Weber, Annie M Zlevor, Colin Longhurst, J Louis Hinshaw, Meghan G Lubner, Daniel L Mulkerin and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Surgical and Interventional Management of Liver Metastasis.Clinics in colon and rectal surgery · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
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

19 authors at 2 institutions in 1 country.

Emily A KnottDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Timothy J ZiemlewiczDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Sam J LubnerDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
John F SwietlikDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Sharon M WeberDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Annie M ZlevorDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Colin LonghurstCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA.
J Louis HinshawDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Meghan G LubnerDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Daniel L MulkerinDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Daniel E AbbottCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA.
Dustin DemingDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Noelle K LoConteDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Nataliya UbohaDepartment of Medicine, University of Wisconsin-Madison, Madison, WI, USA.
Allison B CouillardDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Shane A WellsDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Paul F LaesekeDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Marci L AlexanderDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
Fred T LeeDepartment of Radiology, University of Wisconsin-Madison, Madison, WI, USA.
University of Wisconsin–Madison · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
NCATS NIH HHS UL1 TR002373
6 · The paper itself

Abstract

backgroundThe purpose of this study is to evaluate the safety and intermediate-term efficacy of percutaneous microwave (MW) ablation for the treatment of colorectal liver metastases (CRLM) at a single institution.

methodsA retrospective review was performed of all CRLM treated with MW ablation from 3/2011 to 7/2020 (102 tumors; 72 procedures; 57 patients). Mean age was 60 years (range, 36-88) and mean tumor size was 1.8 cm (range, 0.5-5.0 cm). The patient population included 19 patients with extra-hepatic disease. Chemotherapy (pre- and/or post-ablation) was given in 98% of patients. Forty-five sessions were preceded by other focal CRLM treatments including resection, ablation, radiation, and radioembolization. Kaplan-Meier curves were used to estimate local tumor progression-free survival (LTPFS), disease-free survival (DFS), and overall survival (OS) and multivariate analysis (Cox Proportional Hazards model) was used to test predictors of OS.

resultsTechnical success (complete ablation) was 100% and median follow-up was 42 months (range, 1-112). There was a 4% major complication rate and an overall complication rate of 8%. Local tumor progression (LTP) rate during the entire study period was 4/98 (4%), in which 2 were retreated with MW ablation for a secondary LTP-rate of 2%. LTP-free survival at 1, 3, and 5 years was 93%, 58%, and 39% and median LTP-free survival was 48 months. OS at 1, 3, and 5 years was 96%, 66%, 47% and median OS was 52 months. There were no statistically significant predictors of OS.

conclusionsMW ablation of hepatic colorectal liver metastases appears safe with excellent local tumor control and prolonged survival compared to historical controls in selected patients. Further comparative studies with other local treatment strategies appear indicated.

Indexed as

ablationColorectal cancerhepatic metastasisliver targeted therapytreatment of metastasis

Identifiers

PMID34532102
PMCPMC8421889
OpenAlexW3198064877

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.