Evidence map›Paper›PMID 35387596›Full record

ArticleBMC gastroenterology2022

Perioperative changes in cell-free DNA for patients undergoing surgery for colon cancer.

Andreas W Rosen, Mikail Gögenur, Isabella W Paulsen, Jesper Olsen, Susanne Eiholm, Lene T Kirkeby, Ole B Pedersen, Niels Pallisgaard, Ismail Gögenur

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 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
1.0field-weighted citation impact, top 26% 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, 12 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

9 authors at 4 institutions in 1 country.

Andreas W Rosen *Center for Surgical Science, Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Mikail Gögenur *Center for Surgical Science, Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark. mgog@regsj.dk.ORCID http://orcid.org/0000-0001-7768-324X
Isabella W PaulsenDepartment of Clinical Immunology, Zealand University Hospital, Ringstedgade 77b, 4700, Næstved, Denmark.
Jesper OlsenCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Susanne EiholmDepartment of Pathology, Zealand University Hospital, Sygehusvej 9, 4000, Roskilde, Denmark.
Lene T KirkebyDepartment of Surgery, Zealand University Hospital, Sygehusvej 6, 4000, Roskilde, Denmark.
Ole B PedersenDepartment of Clinical Immunology, Zealand University Hospital, Ringstedgade 77b, 4700, Næstved, Denmark.
Niels PallisgaardDepartment of Pathology, Zealand University Hospital, Sygehusvej 9, 4000, Roskilde, Denmark.
Ismail GögenurCenter for Surgical Science, Department of Surgery, Zealand University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
Zealand University Hospital · DKRoskilde University · DKUniversity of Copenhagen · DKZealand University Hospital Køge · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious conditions with cellular decay are associated with elevated cell-free DNA (cfDNA). This study aimed to investigate if perioperatively measured cfDNA levels were associated with the surgical approach, complications, or recurrence.

methodsPlasma was obtained from patients who underwent surgery for colon cancer at admission and at the time of discharge. Quantitative measurement of cfDNA was performed by amplifying two amplicons of 102 base pairs (bp) and 132 bp of Beta-2-Microglobulin (B2M) and Peptidyl-Prolyl cis-trans Isomerase A (PPIA), respectively.

resultscfDNA was measured in 48 patients who underwent surgery for colonic cancer. Sixteen patients had recurrence during the follow-up period, fifteen developed a postoperative complication, and seventeen patients developed neither, acting as the control group. Postoperative cfDNA levels were significantly elevated from baseline samples, across all groups, with a median preoperatively B2M level of 48.3 alleles per mL and postoperatively of 220 alleles per mL and a median preoperatively level PPIA of 26.9 alleles per mL and postoperatively of 111.6 alleles per mL (p < 0.001 for B2M and p < 0.001 for PPIA). Postoperative levels of PPIA, but not B2M, were significantly higher in patients experiencing complications than in the control group (p = 0.036). However, a tendency towards an association between the surgical approach and the changes in cfDNA levels was found for PPIA (p = 0.058), and B2M (p = 0.087).

conclusionsPlasma cfDNA was increased after surgery in all patients with colon cancer. Postoperative PPIA levels were significantly higher in patients experiencing surgical complications but not in B2M levels.

Indexed as

Cell-Free Nucleic AcidsColonic NeoplasmsHumansPostoperative ComplicationsCell-Free Nucleic AcidsCell-free DNAColon CancerComplicationsPerioperativeSurgerySurgical stress

Identifiers

PMID35387596
PMCPMC8988386
OpenAlexW4223552821

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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.