Evidence map›Paper›PMID 41547693›Full record

ArticleAnnals of surgical oncology2026

Raised Serum Tumour Markers Predict Incomplete Cytoreduction, Disease-Free and Overall Survival in Patients with Colorectal Peritoneal Metastases Treated by Cytoreductive Surgery and HIPEC.

Niccolo Allievi, Samuel Bayney, Mark Vasanth Samuel, Alexios Tzivanakis, Sanjeev Dayal, Tom Cecil, Faheez Mohamed, Brendan Moran

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Article in Annals of surgical oncology, 2026. 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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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.

2 · The registry

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Niccolo AllieviPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK. niccolo.allievi@gmail.com.ORCID http://orcid.org/0000-0001-5019-7305
Samuel BayneyPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.
Mark Vasanth SamuelPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.
Alexios TzivanakisPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.
Sanjeev DayalPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.
Tom CecilPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.
Faheez MohamedPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.
Brendan MoranPeritoneal Malignancy Institute, Basingstoke North Hampshire Hospital Foundation Trust, Basingstoke, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRaised serum tumour markers are a prognostic factor in advanced colorectal cancer. The purpose of the current study was to evaluate the role of elevation of carcinoembryonic antigen (CEA), cancer antigen 125 (CA 125) and carbohydrate antigen (CA 19.9), with a focus on burden of peritoneal disease, incomplete cytoreduction, and survival in patients with colorectal peritoneal metastases (CPM) treated by cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).

methodsThis is a retrospective analysis of a prospectively collected database. Patients with CPM treated by CRS and HIPEC in a single high-volume centre between 2000-2021 with complete demographic, tumour marker status, histopathological, and follow-up information were included.

resultsIn total, 433 patients were included, of which 232 (53.6%) were female. The median age was 59 years, and the median peritoneal cancer index (PCI) was 6. Overall, 268/433 (61.9%) patients had one or more elevated tumour markers. Elevated tumour markers were associated with higher PCI and higher risk of receiving incomplete cytoreduction (odds ratio [OR] 2.8, p = 0.026 and OR 6.21, p < 0.001 for two and three elevated markers, respectively). Furthermore, elevated tumour markers were associated with worse 5-year overall survival (overall survival, hazard ratio 1.55, p = 0.021; 2.85, p < 0.001; and 2.85, p < 0.001 for any one, any two, or all three elevated markers, respectively) and disease-free survival at multivariable analysis.

conclusionsElevated preoperative tumour markers correlate with extent of CPM, a higher risk of incomplete cytoreduction, and decreased overall survival and disease-free survival.

Indexed as

Biomarkers, TumorColorectal NeoplasmsCytoreduction Surgical ProceduresHyperthermia, InducedHyperthermic Intraperitoneal ChemotherapyPeritoneal NeoplasmsAdultAgedCA-125 AntigenCarcinoembryonic AntigenCombined Modality TherapyDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleBiomarkers, TumorCA-125 AntigenCarcinoembryonic Antigen

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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.