Evidence map›Paper›PMID 36358674›Full record

ArticleCancers2022

Colorectal Cancer and the Obese Patient: A Call for Guidelines.

Nikoletta A Petrou, Henna Rafique, Shahnawaz Rasheed, Paris Tekkis, Christos Kontovounisios

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Obesity-Associated Colorectal Cancer.International journal of molecular sciences · 2024
    Review
  4. 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

5 authors.

Nikoletta A PetrouDepartment of General Surgery, The Royal Marsden Hospital, London SW3 6JJ, UK.ORCID 0000-0001-6295-2451
Henna RafiqueDepartment of General Surgery, The Royal Marsden Hospital, London SW3 6JJ, UK.
Shahnawaz RasheedDepartment of General Surgery, The Royal Marsden Hospital, London SW3 6JJ, UK.
Paris TekkisDepartment of General Surgery, The Royal Marsden Hospital, London SW3 6JJ, UK.
Christos KontovounisiosDepartment of General Surgery, The Royal Marsden Hospital, London SW3 6JJ, UK.ORCID 0000-0002-1828-1395

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The link between obesity and colorectal cancer has been well established. The worldwide rise in obesity rates in the past 40 years means that we are dealing with increasing numbers of obese patients with colorectal cancer. We aimed to review the existing guidelines and make recommendations specific to this group of patients. Upon comparing the current NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines ®), the guidelines from the European Society of Medical Oncology (ESMO) and the guidelines of the Japanese Society for Cancer of the Colon and Rectum (JSCCR), we observed that these did not take into consideration the needs of obese patients. We proceeded to make specific recommendations with regards to the diagnostic work-up, surgical pathways, minimally invasive technique, perioperative treatment, post-operative surveillance, and management of metastatic disease in this group of patients. Our review highlights the need for modification of the existing guidelines to account for the needs of this patient cohort. A multidisciplinary approach, including principles used by bariatric surgeons, should be the way forward to reach consensus in the management of this group of patients.

Indexed as

colorectal cancerminimally invasive surgeryobesitysurveillance

Identifiers

PMID36358674
PMCPMC9657704

What OpenQuestion holds

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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.