Evidence map›Paper›PMID 40877723›Full record

ArticleAnnals of surgical oncology2025

Quality of Life and Minimal Clinically Important Difference in Colorectal Cancer Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy: A Large Prospective Cohort Study.

Chong-Chi Chiu, Mao-Chih Hsieh, Guan-Ling Wang, Hon-Yi Shi

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Article in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Chong-Chi ChiuDepartment of General Surgery, E-Da Cancer Hospital, I-Shou University, Kaohsiung, Taiwan.
Mao-Chih HsiehDepartment of General Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Guan-Ling WangDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
Hon-Yi ShiDepartment of Healthcare Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan. hshi@kmu.edu.tw.ORCID http://orcid.org/0000-0003-4700-0190

Funding

Ministry of Science and Technology, Taiwan 111-2410-H-037-002-MMinistry of Science and Technology, Taiwan MOST 108-2410-H-037-006-SS3
6 · The paper itself

Abstract

backgroundUnderstanding the minimal clinically important difference (MCID) and the factors associated with its deterioration is vital for defining meaningful outcomes and developing shared decision-making approaches. This study examined the temporal evolution of quality of life (QoL), determined the MCID, and identified factors influencing MCID deterioration in patients with colorectal cancer undergoing cytoreductive surgery (CRS) plus hyperthermic intraperitoneal chemotherapy (HIPEC) compared with those undergoing CRS alone.

methodsQoL was assessed using EORTC QLQ-C30 and EORTC QLQ-CR29 preoperatively, and at 3, 6, and 12 months postoperatively. This prospective cohort study employed the anchor-based method, using the Global Rating of Change Scale to measure MCID for QoL.

resultsAfter adjusting for the inverse probability of treatment weighting method, both cohorts exhibited comparable overall covariates. The CRS plus HIPEC group demonstrated a significant net positive effect on QoL measures compared with the CRS-alone group over time (p < 0.05). Patients with CRS plus HIPEC had a larger MCID than those with CRS alone for both improvement and deterioration. MCID deterioration was significantly associated with surgical approach, age, sex, body mass index, cancer stage, American Society of Anesthesiologists score, recurrence status, and preoperative QoL (p < 0.05).

conclusionsCRS plus HIPEC and CRS alone effectively alleviated symptoms and extended survival in our patients with colorectal cancer despite initial deterioration in QoL and morbidities. QoL and symptoms typically improved or returned to baseline within 3 months, especially with CRS plus HIPEC. These findings provide crucial evidence for preoperative shared decision making, perioperative care references, and postoperative management strategy planning.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsCytoreduction Surgical ProceduresHyperthermic Intraperitoneal ChemotherapyMinimal Clinically Important DifferenceQuality of LifeAdultAgedCombined Modality TherapyFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProspective StudiesColorectal cancerCytoreductive surgeryHyperthermic intraperitoneal chemotherapyMinimal clinically important differenceQuality of life

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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.