Evidence map›Paper›PMID 35008324›Full record

ArticleCancers2021

Pre- and Perioperative Inflammatory Biomarkers in Older Patients Resected for Localized Colorectal Cancer: Associations with Complications and Prognosis.

Troels Gammeltoft Dolin, Ib Jarle Christensen, Astrid Zedlitz Johansen, Hans Jørgen Nielsen, Henrik Loft Jakobsen, Mads Falk Klein, Cecilia Margareta Lund, Stig Egil Bojesen, Dorte Lisbeth Nielsen, Benny Vittrup Jensen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.8field-weighted citation impact, top 12% 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, 25 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

11 authors at 3 institutions in 1 country.

Troels Gammeltoft DolinDepartment of Medicine, Copenhagen University Hospital, DK-2730 Herlev, Denmark.ORCID 0000-0001-6346-3131
Ib Jarle ChristensenDepartment of Gastrointestinal Surgery, Copenhagen University Hospital, DK-2650 Hvidovre, Denmark.
Astrid Zedlitz JohansenDepartment of Oncology, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Hans Jørgen NielsenDepartment of Gastrointestinal Surgery, Copenhagen University Hospital, DK-2650 Hvidovre, Denmark.
Henrik Loft JakobsenDepartment of Surgery, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Mads Falk KleinDepartment of Surgery, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Cecilia Margareta LundDepartment of Medicine, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Stig Egil BojesenDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2200 Copenhagen, Denmark.
Dorte Lisbeth NielsenDepartment of Oncology, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Benny Vittrup JensenDepartment of Oncology, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Julia Sidenius JohansenDepartment of Medicine, Copenhagen University Hospital, DK-2730 Herlev, Denmark.
Herlev Hospital · DKUniversity of Copenhagen · DKCopenhagen University Hospital · DK

Funding

Beckett Foundation 19-2-4330The Velux Foundations 00018310
6 · The paper itself

Abstract

The association between pre- and perioperative inflammatory biomarkers, major complications, and survival rates after resection of colorectal cancer (CRC) in older patients is largely unknown. The aim was to investigate age-dependent differences in these associations. Serum CRP, IL-6, and YKL-40 were measured preoperatively and on the first and second day after resection of CRC (stages I-III) in 210 older (≥70 years) and 191 younger patients (<70 years). The results from the complications was presented as an odds ratio (OR, with a 95% confidence interval (CI)) with logistic regression. Results from the mortality rates were presented as a hazard ratio (HR, with a 95% CI) using Cox proportional hazards regression. The preoperative inflammatory biomarkers were higher in the older vs. the younger patients. The risk of complications was increased in older patients with a high preoperative CRP (OR = 1.25, 95% CI 1.03-1.53), IL-6 (OR = 1.57, 95% CI 1.18-2.08), and YKL-40 (OR = 1.66, 95% CI 1.20-2.28), but not in younger patients. Mortality was higher in younger patients with high preoperative YKL-40 (HR = 1.66, 95% CI 1.06-2.60). This was not found in older patients. Elevated preoperative inflammatory biomarkers among older patients were associated with an increased risk of complications, but not mortality. Preoperative inflammatory biomarkers may be useful in assessing the risk of a complicated surgical course in older patients with CRC.

Indexed as

ageingcolorectal cancercomplicationsCRPIL-6inflammationinflammatory biomarkerssurgeryYKL-40

Identifiers

PMID35008324
PMCPMC8750535
OpenAlexW4200497764

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.