Evidence map›Paper›PMID 40922676›Full record

ArticleCancer reports (Hoboken, N.J.)2025

Colorectal Cancer Surgical Pathology: Comparative Study in Lebanon Before and After the Economic Collapse.

Georges Ayoub, Rhea Khazen, Elie Berberi, Viviane Trak Smayra

Abstract readComparative Study
In one paragraph

Article in Cancer reports (Hoboken, N.J.), 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

4 authors.

Georges AyoubFaculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.ORCID 0000-0002-1694-6779
Rhea KhazenAnatomic-Pathology Department, Hotel Dieu de France Hospital, Saint Joseph University of Beirut, Beirut, Lebanon.
Elie BerberiAnatomic-Pathology Department, Hotel Dieu de France Hospital, Saint Joseph University of Beirut, Beirut, Lebanon.
Viviane Trak SmayraFaculty of Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesColorectal cancer (CRC) screening and early detection reduce mortality. Curative treatment is based on surgical resection, and pathological analysis plays a key role in management. In Lebanon, the impact of the COVID-19 pandemic on healthcare has been compounded by an unprecedented socio-economic crisis in 2020. This has deteriorated access to medical care and could have delayed CRC diagnosis and treatment. The study evaluates the impact of the economic collapse on CRC in Lebanon by comparing characteristics of patients operated on in 2020 and 2021 (post-crisis period) to those operated on in 2018 and 2019 (pre-crisis period).

methodsThis retrospective study included patients who underwent surgical resection for colorectal adenocarcinoma at a tertiary care center in Lebanon between 01/01/2018 and 12/31/2021. Patients were divided into two groups according to the corresponding period, and the demographic, clinical, and pathological characteristics were compared.

resultsAmong the 169 patients included, 89 (53%) were operated on in the pre-crisis period and 80 (47%) in the post-crisis period. We reported that in the post-crisis period: more patients presented with clinical complications requiring urgent admission (30% vs. 16%), more tumors were classified as T4b (10% vs. 2%), and more tumors presented lymphatic emboli (65% vs. 45%), perineural (51% vs. 22%) and perivascular invasion (40% vs. 19%) (p < 0.05).

conclusionsThis study highlights the worsening of clinical and pathological indicators of poor prognosis by the current economic crisis, and this could potentially be translated into a reduction of survival.

Indexed as

AdenocarcinomaColorectal NeoplasmsCOVID-19Economic RecessionAgedFemaleHumansLebanonMaleMiddle AgedRetrospective StudiesSARS-CoV-2colorectal cancereconomic crisisLebanononcologic pathologypublic healthsurgical pathology

Identifiers

PMID40922676
PMCPMC12417802

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