Evidence map›Paper›PMID 42082649›Full record

SynthesisBritish journal of cancer2026

A comparison of overall survival from early-onset and late-onset colorectal cancer stratified by TNM stage: a systematic review.

Nadeem Al-Khafaji, Frances Steele, Haoxuan Li, Hannah Boyden, Umar Bin Tariq, Joanna Hooper, Adam C Chambers, David E Messenger

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in British journal of cancer, 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

8 authors.

Nadeem Al-KhafajiDepartment of Colorectal surgery, University Hospitals Plymouth NHS trust, Plymouth, UK.ORCID http://orcid.org/0000-0002-7702-3409
Frances SteeleDepartment of Coloproctology, University Hospitals Bristol and Weston NHS Foundation trust, Bristol, UK.
Haoxuan LiKing's College Hospital NHS Foundation Trust, Denmark Hill, London, UK.
Hannah BoydenDepartment of Coloproctology, University Hospitals Bristol and Weston NHS Foundation trust, Bristol, UK.
Umar Bin TariqCraigavon Area Hospital, Southern Health and Social Care Trust, Northern Ireland, Portadown, UK.
Joanna HooperLibrary and Knowledge Service, Learning and Research, Southmead Hospital, Bristol, UK.
Adam C ChambersSchool of Cellular and Molecular Medicine, University of Bristol, Bristol, UK. adam.chambers@bristol.ac.uk.ORCID http://orcid.org/0000-0002-3215-0535
David E MessengerDepartment of Coloproctology, University Hospitals Bristol and Weston NHS Foundation trust, Bristol, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is conflicting evidence whether survival outcomes are better for early-onset colorectal cancer (EOCRC) or late-onset (LO) CRC. This review aimed to determine overall survival (OS) differences between EOCRC and LOCRC stratified by TNM stage.

methodsEMBASE, Ovid MEDLINE and Cochrane Library were searched using approved search terms for CRC, survival outcomes and early onset disease. Studies which compared OS between early- and late-onset CRC, irrespective of age cut-off, stratified by TNM stage, were included. The Methodological Index for Non-randomized Studies was used to assess methodology and risk of bias. Data on 5-year OS, TNM stage, histopathological features, cohort study type and use of confounder-adjusted analyses were extracted and descriptive statistics presented as study heterogeneity prevented meta-analysis.

resultsA total of 21 studies described the OS of 332451 patients: 29199 EOCRC and 303252 LOCRC. Studies mostly found favourable outcomes in EOCRC, but where multiple age groups were compared, worse survival was frequently observed in the very youngest patients, especially in stage II and III disease.

conclusionEOCRC may have worse OS in age and stage subgroups. This warrants further study using large, granular datasets with detailed information on staging and histopathological features. PROSPERO ID CRD42024563472. An earlier version of this review was presented at the Association of Coloproctologists of Great Britain and Ireland Annual General Meeting in July 2023 and the Tripartite Colorectal Meeting 2025.

Indexed as

Colorectal NeoplasmsAge of OnsetHumansNeoplasm Staging

Identifiers

PMID42082649
PMCPMC13372811

What OpenQuestion holds

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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.