Evidence map›Paper›PMID 41044715›Full record

SynthesisBMC surgery2025

Treatment with curative intent for locoregional recurrent colon cancer - a systematic review.

E Rademaker, A Stapasolla Vargas Garcia, I H J Sujecki, R M Brohet, H Swartjes, J H W de Wilt, N F M Kok, I H J T de Hingh, H L Van Westreenen, E C J Consten and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC surgery, 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

11 authors.

E RademakerDepartment of Surgery, Isala, Zwolle, the Netherlands.
A Stapasolla Vargas GarciaDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Dr. Molewaterplein 40, Rotterdam, 3015GD, the Netherlands.
I H J SujeckiDepartment of Surgery, Isala, Zwolle, the Netherlands.
R M BrohetDepartment of Surgery, Isala, Zwolle, the Netherlands.
H SwartjesDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
J H W de WiltDepartment of Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
N F M KokDepartment of Surgical Oncology, Netherlands Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
I H J T de HinghDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
H L Van WestreenenDepartment of Surgery, Isala, Zwolle, the Netherlands.
E C J ConstenDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.
P J TanisDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Dr. Molewaterplein 40, Rotterdam, 3015GD, the Netherlands. p.tanis@erasmusmc.nl.

Funding

KWF Kankerbestrijding 13209
6 · The paper itself

Abstract

Locoregional recurrence of colon cancer (LRCC) might still be amenable to treatment with curative intent with high survival outcomes, but little is known about patient selection, treatment strategy and corresponding long-term outcomes. This study aimed to review the literature on intentional curative treatment of LRCC and related long-term outcomes. MEDLINE, Embase, Web of Science Core Collection, Cochrane Central Register of Controlled Trials and Google Scholar were searched for publications in any language from 2010 to August 27th 2024. Studies reporting on treatment and survival of uni- or multifocal LRCC without peritoneal spread to another abdominal region after initial curative resection of colon cancer were included. This study was conducted according to the PRISMA and MOOSE recommendations and included independent study selection and data extraction by two reviewers. Of 2843 studies identified, 54 were included, which consisted of 2 consecutive population-based studies, 10 selected cohorts and 42 case studies. The latter were pooled into a case series. In the two consecutive series, treatment intention was curative in 22% and 81%, R0-resection 75% and 50%, and median overall survival 13 and 29 months, respectively. From all 12 cohorts, 495 of 635 (78%) were curatively treated (56% males) with time to LRCC ranging from 15 to 42 months. Neoadjuvant chemotherapy was administered in 6-100% and resection was multivisceral in 40-67%. Adjuvant chemotherapy was provided in 17-88% of the cases. Survival time was heterogeneously reported, limiting possibilities for pooled analysis. Within the pooled case series of 46 unique cases, 83% underwent R0-resection and 5-year overall survival was 86%. Literature regarding treatment and outcomes of LRCC is scarce with limited interpretability and generalizability. Treatment with curative intent can result in high survival rates, but selected cohorts and cases are at high risk of bias.

Indexed as

Colonic NeoplasmsNeoplasm Recurrence, LocalColectomyHumansNeoadjuvant TherapyColon cancerLocoregional recurrenceSurgerySurvival

Identifiers

PMID41044715
PMCPMC12495704

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.