Evidence map›Paper›PMID 35639482›Full record

ArticleAnnals of the Royal College of Surgeons of England2022

The impact of multidisciplinary team decision-making in locally advanced and recurrent rectal cancer.

D P Harji, F Houston, I Cutforth, E Hawthornthwaite, N McKigney, A Sharpe, P Coyne, B Griffiths

Open access · greenAbstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.8field-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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Observational
  5. Article
  6. Review
  7. Survivorship issues in long-term survivors of locally recurrent rectal cancer: A qualitative study.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  8. Article
  9. Article
  10. 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

8 authors at 2 institutions in 1 country.

D P HarjiHealth Education England, UK.
F HoustonHealth Education England, UK.
I CutforthHealth Education England, UK.
E HawthornthwaiteHealth Education England, UK.
N McKigneyHealth Education England, UK.
A SharpeThe Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
P CoyneThe Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
B GriffithsThe Newcastle upon Tyne Hospitals NHS Foundation Trust, UK.
Health Education England · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAppropriate patient selection within the context of a multidisciplinary team (MDT) is key to good clinical outcomes. The current evidence base for factors that guide the decision-making process in locally advanced rectal cancer (LARC) and locally recurrent rectal cancer (LRRC) is limited to anatomical factors.

methodsA registry-based, prospective cohort study was undertaken of patients referred to our specialist MDT between 2015 and 2019. Data were collected on patients and disease characteristics including performance status, Charlson Comorbidity Index, the English Index of Multiple Deprivation quintiles and MDT treatment decision. Curative treatment was defined as neoadjuvant treatment and surgical resection that would achieve a R0 resection, and/or complete treatment of distant metastatic disease. Palliative treatment was defined as non-surgical treatment.

resultsIn total, 325 patients were identified; 72.7% of patients with LARC and 63.6% of patients with LRRC were offered treatment with curative intent (

conclusionsOur study identifies a number of preoperative, prognostic factors that affect MDT decision-making and overall survival.

Indexed as

Neoplasm Recurrence, LocalRectal NeoplasmsHumansNeoadjuvant TherapyPatient Care TeamProspective StudiesRetrospective StudiesClinical decision-makingColorectal surgeryLocal neoplasm recurrenceRectal neoplasms

Identifiers

PMID35639482
PMCPMC9680687
OpenAlexW4281733714

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.