Evidence map›Paper›PMID 34575272›Full record

ReviewJournal of clinical medicine2021

Recurrence Kinetics after Laparoscopic Versus Open Surgery in Colon Cancer. A Meta-Analysis.

Ross Lilley, Evangeline Chan, Nicklaus Ng, Amber Orr, Marcin Szostok, Gloria Ting Ting Yeh, Ross Tulloch, George Ramsay, Zhirajr Mokini, Patrice Forget

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

10 authors at 2 institutions in 2 countries.

Ross LilleyInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0001-8316-8914
Evangeline ChanInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.
Nicklaus NgInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.
Amber OrrInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.
Marcin SzostokInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0002-8375-5446
Gloria Ting Ting YehInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0001-9534-1956
Ross TullochInstitute of Applied Health Sciences, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0002-6757-993X
George RamsayRowett Institute of Nutrition and Health, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0001-9862-2323
Zhirajr MokiniIndependent Researcher, supported by the European Society of Anaesthesiology and Intensive Care Mentorship Programme, B-1000 Brussels, Belgium.
Patrice ForgetEpidemiology Group, Institute of Applied Health Sciences, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen AB25 2ZD, UK.ORCID 0000-0001-5772-8439
University of Aberdeen · GBEuropean Society of Anaesthesiology · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is a leading cause of mortality worldwide and in the UK. Surgical resection is the main curative treatment modality available and using a laparoscopic vs. an open approach may have a direct influence on the inflammatory response, influencing cancer biology and potentially the recurrence kinetics by promoting cancer growth.

methodsThis systematic review aims to compare laparoscopic with open surgery for the treatment of colon cancer with a specific focus on the moment of the recurrence. We included randomised controlled trials in intended curative surgery for colon cancer in adults.

interventionsStudies investigating laparoscopic vs. open resection as an intended curative treatment for patients with confirmed carcinoma of the colon. The two co-primary outcomes were the time to recurrence and the overall survival (OS) and disease-free survival (DFS) at three and five years. Meta-analyses were done on the mean differences.

resultsAfter selection, we reviewed ten randomised controlled trials. Most of the trials did not display a statistically significant difference in either DFS or OS at three or at five years when comparing laparoscopic to open surgery. Groups did not differ for the OS and DFS, especially regarding the time needed to observe the median recurrence rate. The quality of evidence (GRADE) was moderate to very low.

conclusionWe observed no difference in the recurrence kinetics, OS or DFS at three or five years when comparing laparoscopic to open surgery in colon cancer.

Indexed as

colon cancerlaparoscopic surgerymeta-analysisopen surgeryrecurrence kinetics

Identifiers

PMID34575272
PMCPMC8466495
OpenAlexW3201363584

What OpenQuestion holds

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LicenceCC BY
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.