Evidence map›Paper›PMID 42073525›Full record

ArticleCancers2026

Perioperative Blood Transfusion Impairs Overall Survival Following Radical Resection for Colorectal Cancer: A Propensity Score-Matched Analysis.

Xiaoran Wang, Zesong Meng, Guangjun Wang, Guiying Wang, Lihua Liu

Abstract read
In one paragraph

Article in Cancers, 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. 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.

Xiaoran WangThe Second Department of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.
Zesong MengThe Second Department of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.ORCID 0000-0002-6179-3433
Guangjun WangThe Second Department of General Surgery, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.
Guiying WangDepartment of General Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.ORCID 0000-0001-9601-8210
Lihua LiuDepartment of Tumor Immunotherapy, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050035, China.ORCID 0000-0002-1201-4624

Funding

Medical Science Research Project of Hebei 20240069Noncommunicable Chronic Diseases-National Science and Technology Major Project 2024ZD0520305
6 · The paper itself

Abstract

BACKGROUND/

objectivesPerioperative blood transfusion (BTF) remains controversial regarding its impact on oncological outcomes in colorectal cancer (CRC). This study aimed to evaluate the association between BTF, transfusion volume, and long-term prognosis in CRC patients undergoing radical resection.

methodsWe conducted a retrospective cohort study of 1777 CRC patients who underwent radical surgery at the Fourth Hospital of Hebei Medical University between December 2007 and April 2015. Propensity score matching (PSM) was applied to minimize selection bias between BTF and non-BTF groups. Logistic regression identified factors associated with BTF receipt. Cox proportional hazards models assessed the association between BTF and 5-year overall survival (OS). X-tile analysis determined optimal cut-off values for transfusion volume stratification.

resultsAmong 1777 patients, 729 (41.02%) received BTF. After PSM, 524 well-matched pairs showed balanced baseline characteristics. Intestinal obstruction was independently associated with BTF requirement (

conclusionsBTF, particularly when exceeding 4 units, independently predicts inferior long-term survival in CRC patients following radical resection. These findings support the implementation of restrictive transfusion strategies in perioperative CRC management. Given its retrospective observational design, this study shows an association but does not establish causality, and our findings should be interpreted in light of the aforementioned limitations.

Indexed as

colorectal cancerdose–response relationshipoverall survivalperioperative blood transfusionprognostic factorpropensity score matching

Identifiers

PMID42073525
PMCPMC13115186

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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.