Evidence map›Paper›PMID 40980148›Full record

ArticleOncology letters2025

Exploring the clinical value of probiotics in the perioperative management of colorectal cancer: Meta-analysis with trial sequential analysis.

Yang Zhang, Jiepin Hu, Qiong Xu, Youjie Yu, Haozhe Yan, Wei Shao, Feng Zhang

Abstract read
In one paragraph

Article in Oncology letters, 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

7 authors.

Yang ZhangDepartment of Pharmacy, People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.
Jiepin HuDepartment of Pharmacy, People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.
Qiong XuDepartment of Pharmacy, People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.
Youjie YuDepartment of Oncology, People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.
Haozhe YanDepartment of Gastroenterology People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.
Wei ShaoDepartment of Gastroenterology People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.
Feng ZhangDepartment of Pharmacy, People's Hospital of Putuo District (Branch of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine), Zhoushan, Zhejiang 316100, P.R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer (CRC) is the third most common malignant neoplasm, and there is currently no consensus on the clinical value of probiotics in perioperative CRC. A meta-analysis combined with a trial sequential analysis (TSA) was performed to assess the efficacy and safety of probiotics in the adjuvant treatment of CRC to provide an evidence-based recommendation for perioperative CRC. The present meta-analysis adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the study protocol was registered with the International Prospective Register of Systematic Reviews (CRD42024510734). The meta-analysis demonstrated that probiotics significantly reduced the incidence of postoperative infections in patients who underwent CRC surgery (risk ratio, 0.54; 95% CI, 0.45-0.65; P<0.05). Although the sample size was insufficient for the required information size (n=2,897), TSA results demonstrated that cumulative Z values exceeded both the conventional and TSA cut-offs, which indicated that this meta-analysis barely extended the probability of false positives. Meanwhile, probiotics reduced the mean number of days of hospitalization for patients with CRC (mean difference, -1.23; 95% CI, -2.18 to -0.28; P<0.05). Notably, different genera of probiotics used contributed to different outcomes, with subgroup analyses indicating that

Indexed as

colorectal cancermeta-analysisprobioticstrial sequential analysis

Identifiers

PMID40980148
PMCPMC12446898

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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.