Evidence map›Paper›PMID 40366485›Full record

ArticleJournal of gastrointestinal cancer2025

Validation of tumor burden score as a prognostic factor in colorectal cancer liver metastases patients: a retrospective analysis.

Anton Burlaka, Serhii Zemskov, Volodymyr Bezverkhnyi, Veronika Rozhkova, Vitalii Zvirych, Dupyk Mykhailo, Artem Mykytyuk, Romanna Pavliuk, Volodymyr Skyba

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal cancer, 2025. 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
–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. Prognostic impact of tumour burden score on colorectal cancer liver metastasis survival following resection: a meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    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

9 authors.

Anton BurlakaDepartment of Surgical Oncology, National Cancer Institute, Kiev, Ukraine. anton.burlaka@unci.org.ua.
Serhii ZemskovBogomolets National Medical University, Kiev, Ukraine.
Volodymyr BezverkhnyiDepartment of Surgical Oncology, National Cancer Institute, Kiev, Ukraine.
Veronika RozhkovaDepartment of Surgical Oncology, National Cancer Institute, Kiev, Ukraine.
Vitalii ZvirychDepartment of Surgical Oncology, National Cancer Institute, Kiev, Ukraine.
Dupyk MykhailoDepartment of Surgical Oncology, National Cancer Institute, Kiev, Ukraine.
Artem MykytyukDepartment of Surgical Oncology, National Cancer Institute, Kiev, Ukraine.
Romanna PavliukLifescan Diagnostic Center, Kiev, Ukraine.
Volodymyr SkybaInstitute of Postgraduate Education of the Bogomolets National Medical University, Kiev, Ukraine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe assessment of resectability in patients with colorectal cancer (CRC) and multiple liver metastases is primarily a technical decision. However, in cases with unfavourable tumor biology, the clinical benefit of surgery remains limited. Further research is needed to identify additional factors influencing oncological outcomes in these patients to better guide the decision-making process. The aim of this study was to investigate the association of tumor burden score (TBS) and oncological outcome in CRC patients with multiple bilobar metastases.

methodsFive hundred twenty-one consecutive patients who underwent liver resections for CRC liver metastases between January 2002 and January 2024 were identified from the National Cancer Institute (Kyiv, Ukraine) prospective database and analysed retrospectively.

resultsThe median and 5-year overall survival in cohorts with TBS clusters < 3, ≥ 3-9 and ≥ 9 was 116.2 months, 50.3 months and 29.7 months; and 75.7%, 42.4% and 41.6%, respectively (P < 0.001). TBS index has shown high prognostic specificity and sensitivity for postoperative morbidity with AUC 0.97 on the ROC curve. The multivariate Cox regression model has shown that the TBS clusters have a significant negative impact on overall survival particularly in cohorts with TBS ≥ 3-9 (HR: 2.8, 95% CI: 1.7-4.8, P = 0.0001) and TBS ≥ 9 (HR: 1.4, 95% CI: 1.31-1.46, P = 0.005).

conclusionIn this Ukranian population-based study of patients with resectable CRC liver metastases, high TBS was associated with poorer overall survival.

Indexed as

Colorectal NeoplasmsHepatectomyLiver NeoplasmsTumor BurdenAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesUkraineColorectal cancerLiver resectionMultiple liver metastasesTumor biologyTumor burden score

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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.