Evidence map›Paper›PMID 35666139›Full record

ArticleANZ journal of surgery2022

Recurrence patterns predict survival after resection of colorectal liver metastases.

Geoffrey Yuet Mun Wong, Barend Mol, Nazim Bhimani, Philip de Reuver, Connie Diakos, Mark P Molloy, Thomas J Hugh

Abstract read
In one paragraph

Article in ANZ journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. The Clinical Relevance of Indeterminate Pulmonary Nodules in Patients Amenable to Local Treatment of Colorectal Liver Metastases.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
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  13. A CT-based radiomics tumor quality and quantity model to predict early recurrence after radical surgery for colorectal liver metastases.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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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

7 authors.

Geoffrey Yuet Mun WongDepartment of Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.ORCID 0000-0002-5545-2835
Barend MolDepartment of Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Nazim BhimaniDepartment of Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.
Philip de ReuverDepartment of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Connie DiakosNorthern Clinical School, University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0002-8877-3440
Mark P MolloyBowel Cancer and Biomarker Research Laboratory, School of Medical Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-4679-5868
Thomas J HughDepartment of Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital, Sydney, New South Wales, Australia.ORCID 0000-0001-6690-342X

Funding

University of Sydney
6 · The paper itself

Abstract

backgroundEffective treatment of colorectal liver metastases (CRLM) is challenging because recurrence occurs in many patients after curative-intent resection. This study evaluates the recurrence patterns after resection of CRLM and its association with survival.

methodsA retrospective review of prospectively collected data of patients with CRLM managed with curative-intent resection from January 2007 to December 2017 was performed. The main outcomes and measures were the timing of recurrence, initial sites of recurrence, overall survival and recurrence-free survival. Early recurrence was defined as the detection of any organ recurrence ≤6 months from resection of CRLM.

resultsA cohort of 194 patients was included for analysis. After a median follow-up of 85.3 months, 145 patients (74.7%) were diagnosed with recurrence. The median overall survival was 67.6 months (95% CI 50.4-80.2) and the 5-year overall survival was 54.1%. After initial recurrence was detected, the median survival was 28.9 months (95% CI 23.6-37.8) months and the 5-year overall survival was 28.8%. Early recurrence occurred in 58 patients (29.9%). Initial recurrence patterns included: liver only in 53 patients (36.5%), multiple sites in 48 patients (33.1%), lung only in 30 patients (20.7%), and other single extrahepatic sites in 14 patients (9.6%). Early recurrence and initial multi-site recurrence were independent predictors of worse overall survival for patients who develop recurrence after resection of CLRM.

conclusionThe timing and initial sites of recurrence are prognostic factors in determining survival after curative-intent resection of CRLM.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsHepatectomyHumansNeoplasm Recurrence, LocalPrognosisRetrospective StudiesSurvival Ratecolorectal liver metastaseshepatectomyliver resectionrecurrencesurvival

Identifiers

PMID35666139
PMCPMC9544678

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.