Evidence map›Paper›PMID 37715832›Full record

ArticleJournal of cancer research and clinical oncology2023

Prognosis of carcinoembryonic antigen (CEA) in stage I colorectal adenocarcinoma and development of a prediction model: a retrospective study based on the SEER database.

Zhongbiao Chen, Zhimin Lin

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In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Zhongbiao ChenDepartment of General Surgery, 900TH Hospital of Joint Logistics Support Force, Fujian, Fuzhou, People's Republic of China.
Zhimin LinDepartment of General Surgery, 900TH Hospital of Joint Logistics Support Force, Fujian, Fuzhou, People's Republic of China. lzmin0922@foxmail.com.
Fuzhou General Hospital of Nanjing Military Command · CN

Funding

900TH Hospital of Joint Logistics Support Force 2021SM13
6 · The paper itself

Abstract

backgroundTo investigate the prognostic significance of preoperative carcinoembryonic antigen (CEA) status in stage I colorectal classical adenocarcinoma (CCA) and mucinous adenocarcinoma (MUC), and to construct a nomogram model of stage I CCA.

methodsThe SEER database was used to collect 14,226 patients diagnosed with stage I colorectal adenocarcinoma (CA) from 2010 to 2015. The prognostic significance of preoperative CEA status in stage I CA and MUC was examined by propensity-matching score (PSM). We analyzed the factors affecting the prognosis of patients with stage I CCA, and constructed and verified the prognostic model.

resultsAfter PSM, the cancer-specific survival rate (CCS) of CEA-positive patients in stage T1 and T2 CCA was significantly lower than that of CEA-negative patients in stage T1 and T2 [HR = 0.37 (0.29-0.48), P < 0.001], [HR = 0.52 (0.41-0.65), P < 0.001]. However, there was no significant difference in CSS between CEA-positive and CEA-negative patients in T1 and T2 MUC [HR = 0.58 (0.43-0.79), P = 0.096], [HR = 0.76 (0.36-1.62), P = 0.477]. A nomogram was constructed based on the results of the multivariate COX regression model. Based on the AUC of ROC analysis, calibration plot and decision curve analysis (DCA), we concluded that the risk and prognosis model of CCA showed excellent performance.

conclusionElevated CEA is a risk factor for stage I CCA, but not for MUC. And the nomogram is accurate enough to predict the risk and prognostic factors of CCA.

Indexed as

AdenocarcinomaColorectal NeoplasmsCarcinoembryonic AntigenHumansNeoplasm StagingNomogramsPrognosisRetrospective StudiesCarcinoembryonic AntigenCarcinoembryonic antigenColorectal adenocarcinomaMucinous adenocarcinomaNomogram modelStage I

Identifiers

PMID37715832
PMCPMC11796576
OpenAlexW4386802040

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.