Evidence map›Paper›PMID 36807534›Full record

SynthesisInternational journal of colorectal disease2023

Methylene blue can increase the number of lymph nodes harvested in colorectal cancer: a meta-analysis.

Jianlin Xiao, Yu Shen, Xuyang Yang, Mingtian Wei, Wenjian Meng, Ziqiang Wang

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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

6 authors at 1 institution in 1 country.

Jianlin Xiao *Department of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Yu Shen *Department of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Xuyang YangDepartment of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Mingtian WeiDepartment of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Wenjian MengDepartment of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Ziqiang WangDepartment of General Surgery, Colorectal Cancer Center, West China Hospital, Sichuan University, Chengdu, China. wangziqiang@scu.edu.cn.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe lymph node (LN) status plays an important role in colorectal cancer (CRC), which depends on adequate LN harvest. In some studies, methylene blue has been used to increase the number of LNs harvested in vitro. The purpose was to evaluate the effect of methylene blue staining on LN harvest during radical resection of CRC.

methodsThe Cochrane Library, MEDLINE, Embase, PubMed, and Web of Science were searched from the dates of inception until 15 October 2022. Studies were included if they were randomized controlled trials or nonrandomized controlled trials for radical resection of rectal cancer according to the principle of total mesorectal excision that compared the use of methylene blue with blank control in LN harvest. The primary outcomes were the number of LNs harvested and the incidence of fewer than 12 LNs harvested.

resultOf 328 articles found, a meta-analysis was conducted of 15 studies (2 randomized controlled trials and 13 non-randomized controlled trials) composed of 3104 patients. Meta-analysis showed that methylene blue could not only significantly increase the number of LNs harvested in CRC specimens (stained group 28.23 vs unstained group 16.15; weighted mean difference 12.08; 95% CI, 8.03-16.12; p < 0.001; I

conclusionMethylene blue can increase the number of LNs harvested in CRC, reduce the incidence of fewer than 12 LNs harvested, and ensure the accuracy of LN staging.

Indexed as

Colorectal NeoplasmsRectal NeoplasmsHumansLymph Node ExcisionLymph NodesMethylene BlueNeoplasm StagingMethylene BlueColorectal cancerLymph nodeMethylene blue

Identifiers

PMID36807534
OpenAlexW4321349515

What OpenQuestion holds

Textmetadata
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.