Evidence map›Paper›PMID 36859704›Full record

ArticleAnnals of surgical oncology2023

Conditional Survival After Hepatectomy for Colorectal Liver Metastasis: Results from the Colorectal Liver Operative Metastasis International Collaborative (COLOMIC).

Cristian D Valenzuela, Omeed Moaven, Ian B Solsky, John A Stauffer, Nico R Del Piccolo, Tanto Cheung, Carlos U Corvera, Andrew D Wisneski, Charles H Cha, Nima Pourhabibi Zarandi and 4 more

Abstract read
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In one paragraph

Article in Annals of surgical oncology, 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
1.2field-weighted citation impact, top 22% 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, 6 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

14 authors at 6 institutions in 2 countries.

Cristian D ValenzuelaDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.ORCID http://orcid.org/0000-0002-8694-9174
Omeed MoavenDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Ian B SolskyDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
John A StaufferDepartment of Surgical Oncology, Mayo Clinic in Florida, Jacksonville, FL, USA.
Nico R Del PiccoloDepartment of Surgical Oncology, Mayo Clinic in Florida, Jacksonville, FL, USA.
Tanto CheungDepartment of Surgery, University of Hong Kong, Hong Kong, China.
Carlos U CorveraDepartment of Hepatobiliary & Pancreatic Surgery, University of California San Francisco, San Francisco, CA, USA.
Andrew D WisneskiDepartment of Hepatobiliary & Pancreatic Surgery, University of California San Francisco, San Francisco, CA, USA.
Charles H ChaDepartment of Surgery, Yale School of Medicine, New Haven, CT, USA.
Nima Pourhabibi ZarandiDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Justin DouradoDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Kathleen C PerryDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
Gregory RussellDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Perry ShenDivision of Surgical Oncology, Comprehensive Cancer Center, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA. pshen@wakehealth.edu.
Atrium Health Wake Forest Baptist · USMayo Clinic in Florida · USUniversity of California, San Francisco · USUniversity of Hong Kong · HKWake Forest University · USYale University · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest University Comprehensive Cancer Center Biostatistics Shared Resource, via National Cancer Institute P30CA012197
6 · The paper itself

Abstract

introductionComplete resection of colorectal liver metastasis (CLM) improves long-term survival in colorectal cancer. However, there is limited recent data on conditional survival (CS) as postoperative survival milestones are achieved post-hepatectomy.

methodsA retrospective analysis was performed on the penta-institutional Colorectal Liver Operative Metastasis International Collaborative (COLOMIC), with 906 consecutive CLM hepatectomy cases. CS was calculated using Bayes' theorem and Kaplan-Meier analysis. Additional CS analyses were performed on additional clinicopathologic risk factors, including colon cancer laterality, KRAS mutation status, and extrahepatic disease.

resultsThe 5-year CS was 40.6%, 45.3%, 52.8%, and 65.3% at 0, 1, 2, and 3 years postoperatively, with significant improvements each year (p < 0.005). CS was not significantly different between right-sided and left-sided colorectal cancers by 3 years postoperatively. Patients with KRAS mutations had worse CS at all timepoints (p < 0.001). Extrahepatic disease was a poor prognostic factor for OS and CS (p < 0.001). However, CS for patients with KRAS mutations or extrahepatic disease improved significantly as 2-year, postoperative survival was achieved (p < 0.05).

conclusionsFive-year CS after hepatectomy for CLM improved with each passing year of survival postoperatively. Although extrahepatic disease and KRAS mutations are poor prognostic factors for OS, these populations still had improved CS after 2 years postoperatively.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsBayes TheoremHepatectomyHumansPrognosisProto-Oncogene Proteins p21(ras)Retrospective StudiesSurvival RateProto-Oncogene Proteins p21(ras)

Identifiers

PMID36859704
OpenAlexW4322726833

What OpenQuestion holds

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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.