Evidence map›Paper›PMID 40149305›Full record

ArticleCancers2025

The Role of Chemotherapy in Patients with Synchronous Colorectal Liver Metastases: A Nationwide Study.

Hanna Sternby, Farima Brandt, Srinivas Sanjeevi, Jon Unosson, Souheil Reda, Carolina Muszynska, Jozef Urdzik, Petter Frühling

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  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

8 authors.

Hanna SternbyDepartment of Surgery, Institution of Clinical Sciences, Lund University, 221 84 Lund, Sweden.
Farima BrandtDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
Srinivas SanjeeviDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
Jon UnossonDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0002-9413-803X
Souheil RedaDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
Carolina MuszynskaDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
Jozef UrdzikDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.
Petter FrühlingDepartment of Surgical Sciences, Uppsala University, 751 85 Uppsala, Sweden.ORCID 0000-0002-1261-6262

Funding

Uppsala University 990613
6 · The paper itself

Abstract

BACKGROUND/

objectivesThere is still no consensus as to whether patients with upfront resectable synchronous colorectal liver metastases (sCRLM) should receive neoadjuvant treatment prior to liver surgery. Two randomized controlled trials have assessed the role of peri-operative chemotherapy in sCRLM; neither have shown a survival benefit in the neoadjuvant group. The aim of this population-based study was to examine overall survival in patients treated with neoadjuvant chemotherapy and hepatectomy compared to patients who had upfront surgery.

methodsThis is a retrospective observational study between 2009 and 2017 containing data extracted from two Swedish national registries. Descriptive statistics and Cox regression analyses were employed.

resultsIn total, 2072 patients with sCRLM were treated with liver surgery between 2009 and 2017. A majority (n = 1238, 60%) were treated with neoadjuvant chemotherapy, and 834 patients (40%) had upfront surgery. Patients in the upfront surgery group were older (median age 70 compared to 65 years,

conclusionsNeoadjuvant treatment in sCRLM did not confer a survival benefit compared to upfront surgery.

Indexed as

adjuvant chemotherapycolorectal cancerliver metastasesliver surgerymetastasectomyneoadjuvant chemotherapyperi-operative chemotherapy

Identifiers

PMID40149305
PMCPMC11940559

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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.