Evidence map›Paper›PMID 40638478›Full record

Observational studyRevista da Associacao Medica Brasileira (1992)2025

Nutritional status and prognosis in metastatic colorectal cancer: a cohort study.

Tanju Kapagan, Nilufer Bulut, Beyza Arslansoy, Zozan Ozcalimli, Mehmet Turkmencalikoglu, Ece Yontan, Cagla Ecem Kılıc, Beyza Canan Ozkan Kardes, Gokmen Umut Erdem

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Revista da Associacao Medica Brasileira (1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Tanju KapaganBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine, Division of Medical Oncology - İstanbul, Türkiye.ORCID http://orcid.org/0000-0001-9381-1934
Nilufer BulutBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine, Division of Medical Oncology - İstanbul, Türkiye.ORCID http://orcid.org/0000-0002-2406-1946
Beyza ArslansoyBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine - İstanbul, Türkiye.ORCID http://orcid.org/0009-0005-2392-3275
Zozan OzcalimliBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine - İstanbul, Türkiye.ORCID http://orcid.org/0009-0004-3735-2795
Mehmet TurkmencalikogluBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine - İstanbul, Türkiye.ORCID http://orcid.org/0009-0004-1062-4658
Ece YontanBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine - İstanbul, Türkiye.ORCID http://orcid.org/0000-0003-2395-0271
Cagla Ecem KılıcBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine - İstanbul, Türkiye.ORCID http://orcid.org/0000-0002-9616-1743
Beyza Canan Ozkan KardesBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine - İstanbul, Türkiye.ORCID http://orcid.org/0009-0003-7030-4181
Gokmen Umut ErdemBaşakşehir Çam and Sakura City Hospital, Department of Internal Medicine, Division of Medical Oncology - İstanbul, Türkiye.ORCID http://orcid.org/0000-0002-3375-9465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveColorectal cancer is a common and often fatal malignancy, and predicting survival can help guide treatment decisions. This study aimed to investigate the impact of clinicopathological characteristics and nutritional status on survival in patients with metastatic colorectal cancer receiving first-line treatment with 5-fluorouracil in combination with monoclonal antibodies (bevacizumab, cetuximab, or panitumumab).

methodsThis prospective, non-interventional, observational, single-center study included 150 adult patients with metastatic colorectal cancer undergoing first-line therapy. Demographic data, cancer-related characteristics, laboratory parameters, and nutritional status assessed via the Mini Nutritional Assessment-Short Form were recorded prior to treatment initiation. Mini Nutritional Assessment-Short Form scores of 12-14, 8-11, and 0-7 were used to define normal nutritional status, risk of malnutrition, and malnutrition, respectively.

resultsThe mean ages of patients without and with malnutrition were 60±11 and 62±11 years, respectively. Median progression-free survival and overall survival were 12 and 22 months, respectively. Multivariate analysis identified alcohol history (HR=2.83; 95%CI 1.27-6.34; p=0.011) and Mini Nutritional Assessment-Short Form≤7 (HR=1.93; 95%CI 1.09-3.45; p=0.025) as significant predictors of shorter progression-free survival. Mini Nutritional Assessment-Short Form ≤7 (HR=2.96; 95%CI 1.80-4.89; p<0.001) was also significantly associated with decreased overall survival.

conclusionAmong patients with metastatic colorectal cancer receiving first-line therapy, malnutrition (Mini Nutritional Assessment-Short Form≤7) and a history of alcohol use were associated with poorer survival outcomes. These findings underscore the importance of routine nutritional assessment and support the need for further prospective multicenter studies to validate these results.

Indexed as

Colorectal NeoplasmsNutritional StatusAgedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCetuximabFemaleFluorouracilHumansMaleMalnutritionMiddle AgedNutrition AssessmentPanitumumabPrognosisProgression-Free SurvivalBevacizumabCetuximabFluorouracilPanitumumab

Identifiers

PMID40638478
PMCPMC12245054

What OpenQuestion holds

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Registered trials

None linked

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.