Evidence map›Paper›PMID 36350234›Full record

SynthesisJournal of surgical oncology2023

Survival outcomes after synchronous para-aortic lymph node metastasis in colorectal cancer: A systematic review.

Conor Aylward, Jawed Noori, Jack Tyrrell, Niall O'sullivan, Dara O Kavanagh, John O Larkin, Brian J Mehigan, Paul H McCormick, Michael E Kelly

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Journal of surgical oncology, 2023. 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
1.4field-weighted citation impact, top 17% 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, 13 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

9 authors at 7 institutions in 2 countries.

Conor AylwardNational University Ireland Galway, Galway, Ireland.ORCID https://orcid.org/0000-0003-1762-3557
Jawed NooriPeter MaCallum Cancer Centre, Victoria, Melbourne, Australia.
Jack TyrrellFiona Stanley Hospital, Western Australia, Perth, Australia.
Niall O'sullivanUniversity Hospital Galway, Galway, Ireland.
Dara O KavanaghTallaght University Hospital, Dublin, Ireland.
John O LarkinSt James's Hospital, Dublin, Ireland.
Brian J MehiganSt James's Hospital, Dublin, Ireland.
Paul H McCormickSt James's Hospital, Dublin, Ireland.
Michael E KellySt James's Hospital, Trinity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0002-0757-6411
St. James's Hospital · IEFiona Stanley Hospital · AUOllscoil na Gaillimhe – University of Galway · IEPeter MacCallum Cancer Centre · AUTallaght University Hospital · IETrinity College Dublin · IEUniversity Hospital Galway · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSynchronous para-aortic lymph node metastasis (PALNM) in colorectal cancer (CRC) is a relatively rare clinical entity. There is a lack of consensus on management of these patients, and the role of para-aortic lymph node dissection (PALND) remains controversial. This systematic review aims to describe the survival outcomes in colorectal cancer with synchronous PALNM when lymph node dissection is performed.

methodsA systematic review of Pubmed, Embase and Web of Science databases for PALND in CRC was performed. Studies including patients with synchronous PALNM undergoing resection with curative intent, published from the year 2000 onwards, were included.

resultsTwelve retrospective studies were included. Four studies reported survival outcomes for rectal cancer, two for colon cancer and six as colorectal. Survival outcomes for 356 patients were included. Average 5-year overall survival (OS) was 22.4%, 33.9% and 37.7% in the rectal, colon and colorectal groups respectively. Three year OS in the groups was 53.6%, 46.2% and 65.7%.

conclusionThere remains a lack of quality data to confidently make recommendations regarding the management of synchronous PALNM in colon and rectal cancer cohorts. Retrospective data suggests a benefit in highly selective cohorts and therefore a case-by-case evaluation remains the standard of care.

Indexed as

Colonic NeoplasmsRectal NeoplasmsHumansLymphatic MetastasisLymph Node ExcisionLymph NodesRetrospective Studiesdissectionlower GImetastaticneoplasmrectal

Identifiers

PMID36350234
PMCPMC10100040
OpenAlexW4308640082

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.