Evidence map›Paper›PMID 34788526›Full record

ArticleAnnals of coloproctology2022

Extended Lymphadenectomy in Locally Advanced Rectal Cancers: A Systematic Review.

Balaji Mahendran, Supriya Balasubramanya, Simone Sebastiani, Sebastian Smolarek

Open access · goldAbstract read
In one paragraph

Article in Annals of coloproctology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Balaji MahendranDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Supriya BalasubramanyaDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Simone SebastianiDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
Sebastian SmolarekDepartment of Colorectal Surgery, University Hospitals Plymouth NHS Trust, Plymouth, United Kingdom.
University Hospitals Plymouth NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe surgical treatment of advanced low rectal cancer remains controversial. Extended lymphadenectomy (EL) is the preferred option in the East, especially in Japan, while neoadjuvant radiotherapy is the treatment of choice in the West. This review was undertaken to review available evidence supporting each of the therapies.

methodsAll studies looking at EL were included in this review. A comprehensive search was conducted as per PRISMA guidelines. Primary outcome was defined as 5-year overall survival, with secondary outcomes including 3-year overall survival, 3- and 5-year disease-free survival, length of operation, and number of complications.

resultsThirty-one studies met the inclusion criteria. There was no significant publication bias. There was statistically significant difference in 5-year survival for patient who underwent EL (odds ratio, 1.34; 95 confidence interval, 0.09-0.5; P=0.006). There were no differences noted in secondary outcomes except for length of the operations.

conclusionThere is evidence supporting EL in rectal cancer; however, it is difficult to interpret and not easily transferable to a Western population. Further research is necessary on this important topic.

Indexed as

Extended lymphadenectomyLateral pelvic lymph node excisionOverall survivalRectal neoplasmsSystematic reviewTotal mesorectal excision

Identifiers

PMID34788526
PMCPMC8898625
OpenAlexW3214078097

What OpenQuestion holds

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LicenceCC BY-NC
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.