Evidence map›Paper›PMID 35848736›Full record

ArticleAmerican journal of clinical oncology2022

Rectosigmoid Cancer-Rectal Cancer or Sigmoid Cancer?

Caressa Hui, Richel Baclay, Kevin Liu, Navjot Sandhu, Phoebe Loo, Rie von Eyben, Chris Chen, Vipul Sheth, Lucas Vitzthum, Daniel Chang and 1 more

Abstract read
In one paragraph

Article in American journal of clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
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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

11 authors.

Caressa HuiDepartments of Radiation Oncology.
Richel BaclayDepartments of Radiation Oncology.
Kevin LiuDepartments of Radiation Oncology.
Navjot SandhuDepartments of Radiation Oncology.
Phoebe LooDepartments of Radiation Oncology.
Rie von EybenDepartments of Radiation Oncology.
Chris ChenMedical Oncology.
Vipul ShethRadiology, Stanford University, Stanford, CA.
Lucas VitzthumDepartments of Radiation Oncology.
Daniel ChangDepartments of Radiation Oncology.
Erqi PollomDepartments of Radiation Oncology.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to determine the optimal treatment for patients with locally advanced rectosigmoid cancers, and to determine whether this can be guided by distance from anal verge (AV) and/or anatomic landmarks such as the sacral promontory and peritoneal reflection (PR). MATERIALS AND

methodsWe retrospectively reviewed patients with T3-T4 and/or node-positive rectosigmoid cancers who underwent surgery from 2006 to 2018 with available pelvic imaging. We included tumors at 9 to 20 cm from the AV on either staging imaging, or colonoscopy. Patients were stratified into those who received neoadjuvant therapy, and those who underwent upfront surgery. Comparisons of characteristics were performed using χ 2 test and Fischer exact test. Locoregional failure (LRF) and overall survival were compared using Cox regressions and Kaplan-Meier analysis.

resultsOne hundred sixty-one patients were included. Ninety-seven patients had neoadjuvant therapy, and 64 patients had upfront surgery. Median follow-up time was 45.1 months. Patients who had neoadjuvant therapy had tumors that were higher cT stage ( P <0.01) with more positive/close circumferential resection margins seen on imaging by radiologists (28.9% vs. 1.6% , P =0.015). The 2-year rate of LRF, distant metastases, or overall survival was not significantly different between the 2 groups. None of 15 patients with tumors below the PR treated with neoadjuvant therapy had LRF, but 1 (25%) of 4 patients with tumors below the PR treated with adjuvant therapy experienced LRF ( P =0.05).

conclusionsPatients with tumors below the PR may benefit more from neoadjuvant therapy. The PR on imaging may be a reliable landmark in addition to the distance from the AV to determine the most appropriate treatment option.

Indexed as

Rectal NeoplasmsSigmoid NeoplasmsHumansNeoadjuvant TherapyNeoplasm StagingRetrospective StudiesTreatment Outcome

Identifiers

PMID35848736
PMCPMC9311454

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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.