Evidence map›Paper›PMID 42489965›Full record

ArticleJournal of gastrointestinal cancer2026

The Prognostic Impact of the Number of Colorectal Liver Metastases At the Time of Presentation Among Patients Undergoing Surgery.

Hisashi Murakami, Masaru Matsumura, Yasutaka Kuno, Takuma Okada, Satoshi Okubo, Masaji Hashimoto, Junichi Shindoh

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Article in Journal of gastrointestinal cancer, 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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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

7 authors.

Hisashi MurakamiDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan.
Masaru MatsumuraDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan.
Yasutaka KunoDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan.
Takuma OkadaDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan.
Satoshi OkuboDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan.
Masaji HashimotoDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan.
Junichi ShindohDepartment of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minatoku, Tokyo, 105-8470, Japan. shindou-tky@umin.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prognostic impact of tumor number among surgically treated colorectal liver metastases (CLMs) remains incompletely understood, particularly in patients with extensive disease.

methodsWe retrospectively analyzed 303 patients who underwent initial hepatectomy for CLMs between 2008 and 2024. Prognostic factors for overall survival (OS) were evaluated using multivariable Cox regression analysis. Estimated mortality hazard at three and five years after surgery was modeled according to the number of liver lesions.

resultsTumor number (hazard ratio [HR], 1.02; 95% confidence interval [CI], 1.00-1.03; P = 0.025), positive primary nodal status (HR, 1.39; 95% CI 1.04-1.87; P = 0.029), and extrahepatic disease (HR, 1.60; 95% CI, 1.13-2.25; P = 0.007) were independently associated with OS. Mortality hazard gradually increased with increasing tumor number, particularly between 5-30 lesions, although the increase was modest. Among patients with ≥ 10 CLMs, median OS was 39.0 months.

conclusionsTumor number was associated with prognosis after hepatectomy, but increasing tumor burden did not result in a steep increase in mortality hazard. Tumor number alone should not preclude surgical consideration in selected patients.

Indexed as

Colorectal NeoplasmsHepatectomyLiver NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesSurvival RateTumor BurdenColorectal liver metastasisLiver resectionPrognosis

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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.