Evidence map›Paper›PMID 34590190›Full record

SynthesisLangenbeck's archives of surgery2021

Missing colorectal liver metastases: the surgical challenge.

Elena Ramírez-Maldonado, Rocío García-Pérez, Joana Ferrer-Fàbrega, Victor Sapena, Josep Fuster, Juan Carlos García-Valdecasas

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Langenbeck's archives of surgery, 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Safeness of Simultaneous Colonic Resection and Hepatic Radiofrequency Ablation.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

6 authors.

Elena Ramírez-MaldonadoGeneral and Digestive Surgery Department - Hospital Clínic, IDIBAPS, CIBERHD, University of Barcelona, Carrer Villarroel 170, 08036, Barcelona, Spain. elena.ramirezmaldonado@gmail.com.ORCID http://orcid.org/0000-0001-9213-7212
Rocío García-PérezGeneral and Digestive Surgery Department - Hospital Clínic, IDIBAPS, CIBERHD, University of Barcelona, Carrer Villarroel 170, 08036, Barcelona, Spain.
Joana Ferrer-FàbregaGeneral and Digestive Surgery Department - Hospital Clínic, IDIBAPS, CIBERHD, University of Barcelona, Carrer Villarroel 170, 08036, Barcelona, Spain.
Victor SapenaMedical Statistics Core Facility, Institut D´Investigacions Biomédiques August Pi I Sunyer (IDIBAPS), Hospital Clinic Barcelona, Barcelona, Spain.
Josep FusterGeneral and Digestive Surgery Department - Hospital Clínic, IDIBAPS, CIBERHD, University of Barcelona, Carrer Villarroel 170, 08036, Barcelona, Spain.
Juan Carlos García-ValdecasasGeneral and Digestive Surgery Department - Hospital Clínic, IDIBAPS, CIBERHD, University of Barcelona, Carrer Villarroel 170, 08036, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNew chemotherapy schemes have allowed for a better radiological response of unresectable colorectal liver metastases, leading to an interesting scenario known as a complete radiological response. The aim of this study was to review the current management of missing liver metastases (MLM) from the liver surgeon's point of view.

methodsA systematic search was conducted on all publications of PubMed and Embase between 2003 and 2018. Meta-analysis was performed on MLM resected/unresected. Residual tumor or regrowth and relapse-free survival were used as evaluation indices.

resultsAfter literature search, 18 original articles were included for analysis. The predictive factors for MLM are type and duration of chemotherapy and size and number of lesions. Magnetic resonance is the most sensitive preoperative technique. Regarding clinical management, liver surgery is deemed the fundamental pillar in the therapeutic strategy of these patients. Meta-analysis due to data heterogeneity was inconclusive.

conclusionsDepending on the clinical context, MLM monitoring appears to be a valid therapeutic alternative. Nevertheless, prospective randomized clinical studies are needed.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsHumansNeoplasm Recurrence, LocalProspective StudiesChemotherapyColorectal cancerLiver metastasesLiver surgery

Identifiers

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.