Evidence map›Paper›PMID 40013340›Full record

SynthesisCancer medicine2025

The Prognostic Value of Tumor-Associated Neutrophils in Colorectal Cancer: A Systematic Review and Meta-Analysis.

Mengyuan Jiang, Rui Zhang, Min Huang, Jing Yang, Qianqian Liu, Ziru Zhao, Ya Ma, Hongfan Zhao, Min Zhang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. 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

9 authors.

Mengyuan JiangDepartment of Pathology, Taicang Loujiang New City Hospital, Taicang, Jiangsu, China.
Rui ZhangThe First School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Min HuangThe First School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Jing YangThe First School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Qianqian LiuThe First School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Ziru ZhaoThe First School of Clinical Medicine, Gansu University of Traditional Chinese Medicine, Lanzhou, Gansu, China.
Ya MaDepartment of Pathology, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Hongfan ZhaoDepartment of Pathology, Gansu Provincial Hospital, Lanzhou, Gansu, China.
Min ZhangDepartment of Pathology, Gansu Provincial Hospital, Lanzhou, Gansu, China.ORCID https://orcid.org/0000-0003-0295-349X

Funding

The research center of the molecular pathological diagnosis and technical engineering of Gansu province 2021GSFZBL01The Science and Technology Program of Gansu Province: the Basic research innovation group 22JR5RA709
6 · The paper itself

Abstract

backgroundTumor-associated neutrophils (TANs) are important components of the colorectal cancer (CRC) microenvironment. However, their role in CRC remains controversial. This study aimed to assess the prognostic value of TANs in patients with CRC.

methodsWe searched the PubMed, EMBASE, and Cochrane Library databases for eligible studies published until January 9, 2023. The pooled hazard ratios (HRs) and odds ratios (ORs) with their 95% confidence intervals (95% CI) were calculated with a random-effects model to assess survival outcomes and clinicopathological features. Subgroup analyses were further conducted to identify potential sources of heterogeneity. Funnel plots and Egger's test were used to measure publication bias.

resultsA total of 19 studies with 7721 patients were included in this meta-analysis. The pooled analysis indicated that high peritumoral TAN infiltration in CRC tissue was significantly associated with favorable cancer-specific survival (HR = 0.57; 95% CI: 0.38-0.86; p = 0.007), but not with overall survival or disease-free survival. No association between high intratumoral or unclear compartment TAN infiltration and CRC prognosis was found. Subgroup analyses showed that the association between TANs and the prognosis of CRC patients differed according to antibody types, tumor stage, quantitative methods, and follow-up time. High intratumoral TAN infiltration was significantly associated with histology type, whereas high TAN infiltration in an unclear compartment was significantly associated with gender, tumor location, and the primary tumor site.

conclusionsHigh TAN infiltration, especially in the peritumoral compartment, could be a potential prognostic marker in CRC. More high-quality studies are required to explore its specific prognostic value in CRC.

Indexed as

Colorectal NeoplasmsNeutrophilsTumor MicroenvironmentHumansPrognosiscolorectal cancermeta‐analysisprognosistumor‐associated neutrophils

Identifiers

PMID40013340
PMCPMC11865885

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.