Evidence map›Paper›PMID 35585138›Full record

ArticleCardiovascular and interventional radiology2022

Improved Outcomes of Thermal Ablation for Colorectal Liver Metastases: A 10-Year Analysis from the Prospective Amsterdam CORE Registry (AmCORE).

Robbert S Puijk, Madelon Dijkstra, Bente A T van den Bemd, Alette H Ruarus, Sanne Nieuwenhuizen, Bart Geboers, Florentine E F Timmer, Evelien A C Schouten, Jan J J de Vries, Bram B van der Meijs and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular and interventional radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 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

17 authors at 7 institutions in 3 countries.

Robbert S PuijkDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands. r.puijk@amsterdamumc.nl.ORCID http://orcid.org/0000-0003-3293-4433
Madelon DijkstraDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Bente A T van den BemdDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Alette H RuarusDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Sanne NieuwenhuizenDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Bart GeboersDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Florentine E F TimmerDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Evelien A C SchoutenDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Jan J J de VriesDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Bram B van der MeijsDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Karin NielsenCancer Center Amsterdam, Amsterdam, The Netherlands.
Rutger-Jan SwijnenburgCancer Center Amsterdam, Amsterdam, The Netherlands.
M Petrousjka van den TolCancer Center Amsterdam, Amsterdam, The Netherlands.
Kathelijn S VersteegCancer Center Amsterdam, Amsterdam, The Netherlands.
Birgit I Lissenberg-WitteCancer Center Amsterdam, Amsterdam, The Netherlands.
Hester J SchefferDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Martijn R MeijerinkDepartment of Radiology and Nuclear Medicine, Amsterdam UMC, location Vrije Universiteit, De Boelelaan 1118, 1081HV, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLCancer Center Amsterdam · NLDutch Cancer Society · NLGarvan Institute of Medical Research · AUMedisch Centrum Leeuwarden · NLNIHR Surgical Reconstruction and Microbiology Research Centre · GBNoordwest Ziekenhuisgroep · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo analyze long-term oncological outcomes of open and percutaneous thermal ablation in the treatment of patients with colorectal liver metastases (CRLM).

methodsThis assessment from a prospective, longitudinal tumor registry included 329 patients who underwent 541 procedures for 1350 CRLM from January 2010 to February 2021. Three cohorts were formed: 2010-2013 (129 procedures [53 percutaneous]), 2014-2017 (206 procedures [121 percutaneous]) and 2018-2021 (206 procedures [135 percutaneous]). Local tumor progression-free survival (LTPFS) and overall survival (OS) data were estimated using the Kaplan-Meier method. Potential confounding factors were analyzed with uni- and multivariable Cox regression analyses.

resultsLTPFS improved significantly over time for percutaneous ablations (2-year LTPFS 37.7% vs. 69.0% vs. 86.3%, respectively, P < .0001), while LTPFS for open ablations remained reasonably stable (2-year LTPFS 87.1% [2010-2013], vs. 92.7% [2014-2017] vs. 90.2% [2018-2021], P = .12). In the latter cohort (2018-2021), the open approach was no longer superior regarding LTPFS (P = .125). No differences between the three cohorts were found regarding OS (P = .088), length of hospital stay (open approach, P = .065; percutaneous approach, P = .054), and rate and severity of complications (P = .404). The rate and severity of complications favored the percutaneous approach in all three cohorts (P = .002).

conclusionOver the last 10 years efficacy of percutaneous ablations has improved remarkably for the treatment of CRLM. Oncological outcomes seem to have reached results following open ablation. Given its minimal invasive character and shorter length of hospital stay, whenever feasible, percutaneous procedures may be favored over an open approach.

Indexed as

Catheter AblationColorectal NeoplasmsLiver NeoplasmsHumansProspective StudiesRegistriesRetrospective StudiesTreatment OutcomeColorectal liver metastases (CRLM)Local tumor progression-free survival (LTPFS)Long-term oncological outcomesMicrowave ablation (MWA)Radiofrequency ablation (RFA)

Identifiers

PMID35585138
PMCPMC9307533
OpenAlexW4280559475

What OpenQuestion holds

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LicenceCC BY
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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.