Evidence map›Paper›PMID 40282489›Full record

ReviewCancers2025

Long-Term Oncological Outcomes of Granulocyte Colony-Stimulating Factor (G-CSF) Treatment in Gastrointestinal Cancers: A Systematic Review and Meta-Analysis.

Oliver Wedel Fischer, Tobias Freyberg Justesen, Dilara Seyma Gögenur, Michael Tvilling Madsen, Michael Bau Mortensen, Ismail Gögenur, Adile Orhan

Abstract readReview
In one paragraph

Review in Cancers, 2025. 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
–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. 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

7 authors.

Oliver Wedel FischerCenter for Surgical Science, Department of Surgery, Zealand University Hospital, 4600 Køge, Denmark.ORCID 0009-0004-7127-8795
Tobias Freyberg JustesenCenter for Surgical Science, Department of Surgery, Zealand University Hospital, 4600 Køge, Denmark.ORCID 0000-0002-6133-0543
Dilara Seyma GögenurCenter for Surgical Science, Department of Surgery, Zealand University Hospital, 4600 Køge, Denmark.ORCID 0000-0001-7708-3471
Michael Tvilling MadsenCenter for Surgical Science, Department of Surgery, Zealand University Hospital, 4600 Køge, Denmark.ORCID 0000-0003-0652-123X
Michael Bau MortensenOdense PIPAC Center, Odense University Hospital, 5000 Odense, Denmark.ORCID 0000-0002-7270-5005
Ismail GögenurCenter for Surgical Science, Department of Surgery, Zealand University Hospital, 4600 Køge, Denmark.
Adile OrhanCenter for Surgical Science, Department of Surgery, Zealand University Hospital, 4600 Køge, Denmark.ORCID 0000-0003-4291-2174

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGranulocyte-colony stimulating factor (G-CSF) prophylaxis is widely used in gastrointestinal (GI) cancers. The use of G-CSF in GI cancers has not previously been investigated systematically in a meta-analysis. Thus, we systematically reviewed the literature to describe the G-CSF use and potential influence on long-term oncological outcomes in GI cancers.

methodThe literature search of this systematic review and meta-analysis was conducted in PubMed, Embase, Cochrane Library and Web of Science. The PRISMA-P guidelines were followed. Studies that reported data on patients with GI cancers undergoing oncological treatment with G-CSF prophylaxis were included. Outcomes of interest were overall survival (OS), progression-free survival (PFS) and adverse events (AE), specifically neutropenia grade III/IV. A time-to-event random-effects meta-analysis was conducted. Risk of bias was assessed using the Newcastle-Ottawa Scale and the Cochrane Risk of Bias Tool for Randomized Controlled Trials (RoB) tool.

findingsIn total, 2452 articles were screened for eligibility. Ultimately, 13 studies were included with a total patient number of 2673. The included studies indicated a positive association between OS and G-CSF prophylaxis (HR 0.72, 95% CI: 0.56-0.91,

interpretationG-CSF prophylaxis provides a reduction in neutropenia grade III/IV in patients with GI cancers (high level of certainty) and a favorable OS (low certainty), while PFS is unaffected (moderate certainty). Studies on PFS and G-CSF use are nonetheless limited.

Indexed as

adverse eventsfilgrastimgastrointestinal cancerG-CSFpeg-filgrastimsurvival

Identifiers

PMID40282489
PMCPMC12026166

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.