Evidence map›Paper›PMID 41749878›Full record

ReviewCancers2026

Prognostic Scores for Liver Resection in Colorectal Metastases: Performance, Limitations, and Methodological Pitfalls-A Systematic Review and Meta-Analysis.

Luca Viganò, Luca Risi, Elisa Ragaini, Francesca Ieva, Elena Desiato

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Liver metastases beyond classical imaging findings.Abdominal radiology (New York) · 2026
    Review
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.

Luca ViganòHepatobiliary Unit, Department of Minimally Invasive General & Oncologic Surgery, Humanitas Gavazzeni University Hospital, 24125 Bergamo, Italy.ORCID 0000-0002-4108-4832
Luca RisiHepatobiliary Unit, Department of Minimally Invasive General & Oncologic Surgery, Humanitas Gavazzeni University Hospital, 24125 Bergamo, Italy.ORCID 0009-0000-5485-3728
Elisa RagainiHepatobiliary Unit, Department of Minimally Invasive General & Oncologic Surgery, Humanitas Gavazzeni University Hospital, 24125 Bergamo, Italy.ORCID 0000-0003-1043-8690
Francesca IevaMOX Laboratory, Department of Mathematics, Politecnico di Milano, 20133 Milan, Italy.ORCID 0000-0003-0165-1983
Elena DesiatoHepatobiliary Unit, Department of Minimally Invasive General & Oncologic Surgery, Humanitas Gavazzeni University Hospital, 24125 Bergamo, Italy.ORCID 0009-0009-8475-9885

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe prediction of survival after resection of colorectal liver metastases is crucial for planning treatment strategies. Several prognostic scores have been proposed, but their reliability is debated. The present study aims to review available prognostic scores, focusing on their performance and the methodological approaches adopted for their evaluation.

methodsA systematic literature review was conducted using PubMed, Embase, and the Cochrane Database, including studies published between January 2015 and June 2024. Only English-language studies reporting the external validation of prognostic models were included. A random-effects meta-analysis was performed.

resultsOverall, 48 prognostic scores were externally validated across 48 studies (

conclusionsThe current survival prediction relies on scores with low reliability (C-index ≤ 0.65). Despite the abundance of available data, their heterogeneity and variable quality have limited their usability. Future research should prioritize the development of new prognostic tools and the standardization of prognostic modeling and reporting.

Indexed as

colorectal liver metastasesliver resectionmeta-analysispredicting performanceprediction of survivalprognostic scores

Identifiers

PMID41749878
PMCPMC12939581

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Registered trials

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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.