Evidence map›Paper›PMID 41647651›Full record

ArticleClinical Medicine Insights. Oncology2026

The Prognostic Significance of KRAS, NRAS, and BRAF Mutations in Colorectal Cancer: A Systematic Review and Meta-Analysis.

Mathew Oyelami, Odinaka Mgbeke, Abraham Agaya Obadiah, Aminatulahi Egbeyemi, Ewarld Marshall

Abstract read
In one paragraph

Article in Clinical Medicine Insights. Oncology, 2026. 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

5 authors.

Mathew OyelamiDepartment of Pathology, School of Medicine, Saint George's University, Grenada, West Indies.ORCID https://orcid.org/0009-0006-8599-9918
Odinaka MgbekeDepartment of Clinical Skills, School of Medicine, Saint George's University, Grenada, West Indies.ORCID https://orcid.org/0009-0007-9459-176X
Abraham Agaya ObadiahDepartment of Microbiology, Pharmacology and Immunology, School of Medicine, Saint George's University, Grenada, West Indies.ORCID https://orcid.org/0009-0000-5182-7081
Aminatulahi EgbeyemiDepartment of Microbiology, Pharmacology and Immunology, School of Medicine, Saint George's University, Grenada, West Indies.
Ewarld MarshallDepartment of Pathology, School of Medicine, Saint George's University, Grenada, West Indies.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colorectal cancer (CRC) remains a global health issue with high morbidity and mortality. According to molecular profiling, genetic mutations such as KRAS, NRAS, and BRAF play a significant role in tumor biology, treatment effectiveness, and patient prognosis. The exact effect of these alterations on overall survival (OS) is, however, unclear. This systematic review and meta-analysis estimated the combined effect of KRAS, NRAS, and BRAF mutations on CRC survival relative to wild-type tumors. Methods: This study focused on research conducted in the last decade and was registered on PROSPERO (Reg No: CRD420251003000). Search was done using PubMed, EMBASE, MEDLINE, and Google Scholar. Cohort, case control, and randomized controlled trials reporting Overall Survival Hazard Ratios (HRs) for CRC patients with and without KRAS, NRAS, or BRAF mutations were considered. Multiple reviewers independently extracted and assessed data quality using the Newcastle-Ottawa Scale. For heterogeneity, pooled HRs were computed using a random-effects model. Publication bias was determined by funnel plot asymmetry. Results: Nine trials with 3096 participants qualified. Compared to wild-type CRC, KRAS, NRAS, and BRAF mutations were substantially linked with lower overall survival (pooled HR > 1, Conclusions: This meta-analysis shows that KRAS, NRAS, and BRAF mutations are important for adverse prognostic markers in colorectal cancer, linked to reduced overall survival. Routine molecular testing for these mutations is vital to enable personalized treatment, improve patient stratification, and enhance clinical outcomes in colorectal cancer management.

Indexed as

BRAFColorectal cancerKRASmeta-analysismolecular biomarkerNRASprognosissurvivalsystematic review

Identifiers

PMID41647651
PMCPMC12868589

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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.