Evidence map›Paper›PMID 36357597›Full record

ArticleSurgery today2023

A refined prediction of early recurrence combining tumor deposits in patients with resected rectal mucinous adenocarcinoma.

Yanwu Sun, Yu Deng, Meifang Xu, Jingming Zhong, Jianyuan Song, Huiming Lin, Weizhong Jiang, Ying Huang, Pan Chi

Abstract read
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In one paragraph

Article in Surgery today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. A large population-based and validated study on the follow-up management and supportive strategy of locally advanced rectal cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    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

9 authors at 1 institution in 1 country.

Yanwu Sun *Department of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Yu Deng *Department of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Meifang Xu *Department of Pathology, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Jingming Zhong *Department of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Jianyuan SongDepartment of Radiotherapy, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Huiming LinDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Weizhong JiangDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China.
Ying HuangDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China. hy9033sy@sina.com.
Pan ChiDepartment of Colorectal Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, People's Republic of China. chipan363@163.com.ORCID http://orcid.org/0000-0002-0004-1174
Fujian Medical University · CN

Funding

Bethune Charitable Foundation X-J-2018-004Fujian provincial health technology project 2020CXA025Joint Funds for the Innovation of Science and Technology, Fujian province 2018Y9030Joint Funds for the Innovation of Science and Technology, Fujian province 2019Y9061Joint Funds for the Innovation of Science and Technology, Fujian province 2019Y9101Medical Science Research Foundation of Beijing Medical and Health Foundation B20062DSNatural Science Foundation of Fujian Province 2020J011030the Construction Project of Fujian Province Minimally Invasive Medical Center [2017]171Young and Middle-aged Backbone Training Project in the Health System of Fujian province 2019-ZQN-45
6 · The paper itself

Abstract

purposeEarly recurrence (ER) of rectal mucinous adenocarcinoma (MAC) has yet to be defined. We therefore explored risk factors for ER and constructed a predictive nomogram.

methodA total of 145 rectal MAC patients undergoing radical surgery were included. The minimum P value method was used to determine the optimal cut-off point to discriminate between ER and late recurrence (LR). Risk factors for ER were determined by a logistic regression analysis, and a predictive nomogram was constructed.

resultsA total of 62 (42.8%) patients developed tumor recurrence. The optimal time to define ER was 12 months. A pre-treatment tumor distance from the anal verge ≤ 7 cm, pathological N stage, lymphovascular invasion, tumor deposits, and time to recurrence ≤ 12 months were significantly associated with a poor post-recurrence survival in patients with recurrence. A pre-treatment serum carcinoembryonic antigen (CEA) level > 10 ng/ml, pre-treatment tumor distance from the anal verge ≤ 7 cm, pathological N + stage, perineural invasion, and tumor deposits were identified as independent risk factors associated with ER. A nomogram predicting ER was constructed (C-index 0.870).

conclusionThe pre-treatment serum CEA level, pre-treatment tumor distance from the anal verge, pathological N + stage, perineural invasion, and tumor deposits were significantly predictive of ER for rectal MAC patients.

Indexed as

Adenocarcinoma, MucinousRectal NeoplasmsCarcinoembryonic AntigenExtranodal ExtensionHumansNeoplasm Recurrence, LocalNeoplasm StagingPrognosisRetrospective StudiesCarcinoembryonic AntigenEarly recurrenceMucinous adenocarcinomaNomogramRectal cancer

Identifiers

PMID36357597
OpenAlexW4308771766

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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.