Evidence map›Paper›PMID 36352365›Full record

ArticleBMC cancer2022

Effects of deficient mismatch repair on the prognosis of patients with stage II and stage III colon cancer during different postoperative periods.

Chunze Zhang, Yixiang Zhan, Kemin Ni, Zhaoce Liu, Ran Xin, Qiurong Han, Guoxun Li, Hangyu Ping, Yaohong Liu, Xuanzhu Zhao and 8 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  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

18 authors at 6 institutions in 1 country.

Chunze ZhangDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China. chunze.zhang@nankai.edu.cn.
Yixiang Zhan *Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Kemin Ni *Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Zhaoce Liu *Department of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Ran XinSchool of Medicine, Nankai University, Tianjin, China.
Qiurong HanDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Guoxun LiDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Hangyu PingSchool of Medicine, Nankai University, Tianjin, China.
Yaohong LiuSchool of Medicine, Nankai University, Tianjin, China.
Xuanzhu ZhaoDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Wanting WangDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Suying YanDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Jing SunDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Qinghuai ZhangDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Guihua WangTongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Zili ZhangThe Third Central Clinical College of Tianjin Medical University, Tianjin, China.
Xipeng ZhangDepartment of Colorectal Surgery, Tianjin Union Medical Center, Tianjin, 300121, China.
Xia HuDepartment of Agriculture Insect, Institute of Plant Protection, Tianjin Academy of Agricultural Sciences, Tianjin, China.
Tianjin People's Hospital · CNNankai University · CNTianjin University of Traditional Chinese Medicine · CNHuazhong University of Science and Technology · CNInstitute of Plant Protection · CNTianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe evaluated the prognostic role of deficient mismatch repair (dMMR) systems in stage II and stage III colon cancer patients during different postoperative periods. We also assessed whether patients aged ≥75 could benefit from chemotherapy.

methodsThis retrospective study was conducted across three medical centers in China. Kaplan-Meier survival methods and Cox proportional hazards models were used to evaluate the differences in overall survival (OS) and disease-free survival (DFS) rates. Propensity score matching was performed to reduce imbalances in the baseline characteristics of the patients. Landmark analysis was performed to evaluate the role of dMMR during different postoperative periods.

resultsThe median follow-up time for all patients was 45.0 months (25-75 IQR: 38.0-82.5). There was no significant OS (p = 0.350) or DFS (p = 0.752) benefit associated with dMMR for stage II and III patients during the first postoperative year. However, significant OS (p < 0.001) and DFS (p < 0.001) benefits were observed from the second postoperative year until the end of follow-up. These differences remained after propensity score matching. Moreover, chemotherapy produced no OS (HR = 0.761, 95% CI: 0.43-1.34, p = 0.341) or DFS (HR = 0.98, 95% CI: 0.51-1.88, p = 0.961) benefit for patients aged ≥75 years.

conclusionThe benefits of dMMR in stage III patients were observed from the second postoperative year until the end of follow-up. However, the prognosis of patients with dMMR is not different from that of patients with proficient mismatch repair (pMMR) during the first postoperative year. In addition, elderly patients aged ≥75 years obtained no significant survival benefits from postoperative chemotherapy.

Indexed as

Colonic NeoplasmsTesticular NeoplasmsAgedAntineoplastic Combined Chemotherapy ProtocolsChemotherapy, AdjuvantDNA Mismatch RepairFluorouracilHumansMaleNeoplasm StagingPostoperative PeriodPrognosisRetrospective StudiesFluorouracilAdjuvant chemotherapyColon cancerMismatch repairMulticenter study

Identifiers

PMID36352365
PMCPMC9648020
OpenAlexW4308640903

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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.