Evidence map›Paper›PMID 35773606›Full record

SynthesisSurgical endoscopy2022

Risk of recurrence after local resection of T1 rectal cancer: a meta-analysis with meta-regression.

Nik Dekkers, Hao Dang, Jolein van der Kraan, Saskia le Cessie, Philip P Oldenburg, Jan W Schoones, Alexandra M J Langers, Monique E van Leerdam, Jeanin E van Hooft, Yara Backes and 9 more

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
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  17. Review
  18. Patient educational videos on T1 colorectal cancer.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2023
    Article
  19. Article
  20. 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

19 authors at 6 institutions in 4 countries.

Nik Dekkers *Department of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands. n.dekkers@lumc.nl.ORCID http://orcid.org/0000-0003-0301-7011
Hao Dang *Department of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Jolein van der KraanDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Saskia le CessieDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
Philip P OldenburgDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Jan W SchoonesDirectorate of Research Policy (Formerly: Walaeus Library), Leiden University Medical Center, Leiden, The Netherlands.
Alexandra M J LangersDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Monique E van LeerdamDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Jeanin E van HooftDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Yara BackesDepartment of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands.
Katarina LevicGastrounit-Surgical Division, Center for Surgical Research, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Alexander MeiningDepartment of Gastroenterology, University Hospital of Würzburg, Würzburg, Germany.
Giorgio M SaraccoDivision of Gastroenterology, Department of Medical Sciences, Molinette Hospital, University of Turin, Turin, Italy.
Fabian A HolmanDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Koen C M J PeetersDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Leon M G MoonsDepartment of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands.
Pascal G DoorneboschDepartment of Surgery, IJsselland Hospital, Capelle Aan Den IJssel, The Netherlands.
James C H HardwickDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Jurjen J BoonstraDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands.
Leiden University Medical Center · NLUniversity Medical Center Utrecht · NLCopenhagen University Hospital · DKIJsselland Ziekenhuis · NLUniversitätsklinikum Würzburg · DEUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundT1 rectal cancer (RC) patients are increasingly being treated by local resection alone but uniform surveillance strategies thereafter are lacking. To determine whether different local resection techniques influence the risk of recurrence and cancer-related mortality, a meta-analysis was performed.

methodsA systematic search was conducted for T1RC patients treated with local surgical resection. The primary outcome was the risk of RC recurrence and RC-related mortality. Pooled estimates were calculated using mixed-effect logistic regression. We also systematically searched and evaluated endoscopically treated T1RC patients in a similar manner.

resultsIn 2585 unique T1RC patients (86 studies) undergoing local surgical resection, the overall pooled cumulative incidence of recurrence was 9.1% (302 events, 95% CI 7.3-11.4%; I

conclusionsPatients with T1 rectal cancer may have a significantly lower recurrence risk after TEM/TAMIS compared to other local surgical resection techniques. After TEM/TAMIS and endoscopic resection the recurrence risk, cancer-related mortality and cancer-related mortality among patients with recurrence were comparable. Recurrence was mainly dependent on histological risk status.

Indexed as

Digestive System Surgical ProceduresRectal NeoplasmsTransanal Endoscopic SurgeryHumansNeoplasm Recurrence, LocalTreatment OutcomeFollow-upLocal surgical resectionRecurrenceT1 rectal cancerTherapeutic endoscopy

Identifiers

PMID35773606
PMCPMC9652303
OpenAlexW4283749606

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.