Evidence map›Paper›PMID 38273352›Full record

SynthesisWorld journal of surgical oncology2024

Effect of adjuvant chemotherapy on the oncological outcome of rectal cancer patients with pathological complete response.

Jianguo Yang, Qican Deng, Yong Cheng, Zhongxue Fu, Xin Wu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in World journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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 at 3 institutions in 1 country.

Jianguo YangDepartment of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
Qican DengDepartment of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
Yong ChengDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Zhongxue FuDepartment of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China.
Xin WuDepartment of General Surgery, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, 401120, China. 15123329631@163.com.
Chongqing Medical University · CNThe Affiliated Yongchuan Hospital of Chongqing Medical University · CNThird People 's Hospital of Chongqing · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLocally advanced rectal cancer is typically treated using a combination of neoadjuvant chemoradiotherapy and total mesorectal resection. While achieving pathological complete response following neoadjuvant chemoradiotherapy has been recognized as a positive prognostic factor in oncology, the necessity of adjuvant chemotherapy for locally advanced rectal cancer patients with pathological complete response after surgery remains uncertain. The objective of this meta-analysis was to examine the impact of adjuvant chemotherapy on the oncological outcomes of rectal cancer patients who attain pathological complete response after neoadjuvant chemoradiotherapy.

methodsThis meta-analysis followed the guidelines outlined in the preferred reporting items for systematic review and meta-analysis (PRISMA). The Web of Science, PubMed, and Cochrane Library databases were systematically searched to identify relevant literature.

resultsA total of 34 retrospective studies, including 9 studies from the NCBD database, involving 31,558 patients with pathological complete response rectal cancer, were included in the meta-analysis. The included studies were published between 2008 and 2023. The pooled analysis demonstrated that adjuvant chemotherapy significantly improved overall survival (HR = 0.803, 95% CI 0.678-0.952, P = 0.011), and no heterogeneity was observed (I

conclusionsThe findings of this meta-analysis suggest that adjuvant chemotherapy has a beneficial effect on improving overall survival among rectal cancer patients with pathological complete response. However, no such association was observed in terms of disease-free survival and recurrence-free survival.

Indexed as

ChemoradiotherapyRectal NeoplasmsChemoradiotherapy, AdjuvantChemotherapy, AdjuvantDisease-Free SurvivalHumansNeoadjuvant TherapyNeoplasm StagingPathologic Complete ResponseRetrospective StudiesTreatment OutcomeAdjuvant chemotherapyOverall survivalPathological complete responseRectal cancer

Identifiers

PMID38273352
PMCPMC10809453
OpenAlexW4391228963

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.