Evidence map›Paper›PMID 40235903›Full record

ArticleWorld journal of gastrointestinal oncology2025

Phase angle as a prognostic biomarker in metastatic colorectal cancer: A prospective trial.

Domina Kekez, Juraj Prejac, Gordan Adžić, Nikša Librenjak, Irma Goršić, Danijela Jonjić, Željko Krznarić, Goran Augustin, Stjepko Pleština

Abstract read
In one paragraph

Article in World journal of gastrointestinal oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Domina KekezDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Juraj PrejacDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Gordan AdžićDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Nikša LibrenjakDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Irma GoršićDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Danijela JonjićDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Željko KrznarićDepartment of Internal Medicine, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Goran AugustinDepartment of Surgery, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.
Stjepko PleštinaDepartment of Oncology, University Hospital Centre Zagreb, Zagreb 10000, Grad Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) represents a major global public health issue, ranking as the third most common cancer worldwide. Given the substantial prevalence of CRC, there is a critical need to identify precise prognostic and predictive biomarker tools for better treatment outcomes. Phase angle (PA) has been proposed as a prognostic marker in various non-malignant and malignant clinical conditions.

aimTo investigate the relationship between PA and survival outcomes in the first-line treatment of metastatic CRC (mCRC).

methodsIn this prospective observational study, we obtained data on patients who started first-line systemic chemotherapy from the beginning of 2020 until the end of 2022. The PA, assessed by the bioelectrical impedance analysis scale, was evaluated as a possible prognostic factor for treatment outcomes, which were measured as progression-free survival (PFS) and objective response rate (ORR).

resultsUsing the cut-point value for PA set at 4.60°, 144 patients were divided into two cohorts. The high PA group of patients exhibited a significantly longer median PFS than the low PA group, 14.8

conclusionPA represents a novel and objective pre-chemotherapy prognostic factor to identify mCRC patients who are at increased risk of a worse survival outcome.

Indexed as

Bioimpedance scaleFirst-line chemotherapyMetastatic colorectal cancerPhase angleTreatment outcomes

Identifiers

PMID40235903
PMCPMC11995349

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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.