Evidence map›Paper›PMID 40447850›Full record

ArticleInternational journal of colorectal disease2025

Geriatric 8 score as a prognostic factor of the efficacy and safety of oxaliplatin-based chemotherapy in elderly patients with metastatic colorectal cancer.

Koki Hara, Wakana Chikaishi, Yunami Yamada, Hironori Fujii, Jesse Yu Tajima, Hirotoshi Iihara, Akitaka Makiyama, Daichi Watanabe, Koichi Ohata, Chiemi Hirose and 3 more

Abstract read
In one paragraph

Article in International journal of colorectal disease, 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. 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

13 authors.

Koki Hara *Department of Pharmacy, Gifu University Hospital, Gifu, Japan.
Wakana Chikaishi *Department of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Yunami Yamada *Department of Pharmacy, Gifu University Hospital, Gifu, Japan.
Hironori FujiiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan. fujii.hironori.u5@f.gifu-u.ac.jp.
Jesse Yu TajimaDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.
Hirotoshi IiharaDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Akitaka MakiyamaCancer Center, Gifu University Hospital, Gifu, Japan.
Daichi WatanabeDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Koichi OhataDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Chiemi HiroseDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Ryo KobayashiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Akio SuzukiDepartment of Pharmacy, Gifu University Hospital, Gifu, Japan.
Nobuhisa MatsuhashiDepartment of Surgical Oncology, Gifu University Graduate School of Medicine, Gifu, Japan.

Funding

Japan Society for the Promotion of Science JP 24H02651Japan Society for the Promotion of Science JP 24K09916
6 · The paper itself

Abstract

objectiveOxaliplatin (L-OHP) is effective in the treatment of metastatic colorectal cancer (mCRC). However, given concerns about the possible impact of L-OHP-based chemotherapy regimens in the face of physical functional decline, the question of whether they should be actively recommended for elderly patients remains unclear. This study evaluated the relationship between the Geriatric 8 (G8) score, which assesses overall function in the elderly, and the efficacy and safety of L-OHP-based chemotherapy regimens.

methodsThis retrospective study included mCRC patients aged ≥ 70 years who received L-OHP as first-line therapy between January 2017 and December 2022. The primary endpoints were overall survival (OS) and progression-free survival (PFS), and the secondary endpoint was incidence of adverse events (Grade ≥ 2). Patients were classified into high (≥ 14 points) and low (< 14 points) G8 score groups for comparison.

resultsA total of 55 patients were included. Median PFS was significantly longer in the high G8 score group compared to the low G8 score group (12.4 vs. 6.0 months, P = 0.034). No significant difference in OS was observed (27.9 vs. 29.8 months, P = 0.833). The overall incidence of adverse events was comparable, but nausea incidence tended to be higher in the low G8 score group (0% vs. 25.5%, P = 0.096).

conclusionThe G8 score may serve as a useful prognostic factor in elderly mCRC patients receiving L-OHP. Those with lower G8 scores may be at higher risk of L-OHP-induced nausea.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsGeriatric AssessmentOxaliplatinAgedAged, 80 and overFemaleHumansMaleNeoplasm MetastasisPrognosisProgression-Free SurvivalRetrospective StudiesTreatment OutcomeOxaliplatinComprehensive geriatric assessmentGeriatric 8 (G8) scoreMetastatic colorectal cancerOxaliplatin

Identifiers

PMID40447850
PMCPMC12125043

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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.