Evidence map›Paper›PMID 41498091›Full record

ArticleCancer management and research2025

Alcohol Use, Coronary Heart Disease and Hypertension Modify the Predictive Accuracy of Pre-Operative CEA for TNM Staging in Chinese Colorectal Cancer Patients.

Dayu Kuai, Juan Cheng, Ruofan Li, Xu Gao, Lixin Sun, Yaqiang Li, Wei Sun, Yanping Hu, Chunguang Li, Baohong Xu

Abstract read
In one paragraph

Article in Cancer management and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

10 authors.

Dayu Kuai *Department of Gastroenterology, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.ORCID 0000-0002-3944-6427
Juan Cheng *Affectionate Clinic of the Department of Infectious Diseases, Fifth Medical Center of the PLA General Hospital, Beijing, People's Republic of China.
Ruofan LiDepartment of Gastrointestinal Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Xu GaoDepartment of Gastrointestinal Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Lixin SunDepartment of Gastrointestinal Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Yaqiang LiDepartment of Gastroenterology, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Wei SunDepartment of Gastroenterology, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Yanping HuDepartment of Pathology, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Chunguang LiClinical Laboratory, Affiliated Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.
Baohong XuDepartment of Gastroenterology, Beijing Luhe Hospital, Capital Medical University, Beijing, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To evaluate the effects of comorbidities and lifestyle factors on the prognostic value of preoperative carcinoembryonic antigen (CEA) for tumor-node-metastasis (TNM) staging in Chinese patients with colorectal cancer (CRC). Methods: A retrospective cohort study of 307 patients with CRC from Beijing Luhe Hospital (2020-2024) was performed. Clinicopathological data, including TNM and Numerical staging (AJCC 8th edition), serum CEA levels, and covariates (comorbidities and lifestyle factors), were analyzed using univariate and multivariate logistic regression. Multivariable logistic regression with multiplicative interaction terms (CEA × modifier) was used to test for effect modification. Results: Elevated CEA levels were significantly associated with advanced TNM staging (Stage III-IV vs stage I-II, Conclusion: Preoperative CEA exhibits robust predictive accuracy for TNM staging in Chinese patients with colorectal cancer; however, this performance is critically modulated by alcohol use, coronary heart disease, and hypertension. Systematic incorporation of these three effect modifiers into preoperative risk-stratification algorithms will refine staging accuracy and enable patient-tailored therapeutic strategies.

Indexed as

carcinoembryonic antigencolorectal cancereffect modificationprecision oncologyTNM staging

Identifiers

PMID41498091
PMCPMC12765921

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