Evidence map›Paper›PMID 42755020›Full record

Trial reportColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2026

Detection and treatment of peritoneal metastases in colon cancer: COLOPEC trial compared to routine practice.

Iris Hochstenbach, Julie J M Hamm, Eva Rademaker, Arend G J Aalbers, Djamila Boerma, Wilhelmina M U van Grevenstein, Patrick H J Hemmer, Ignace H J T De Hingh, Niels F M Kok, Jurriaan B Tuynman and 6 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Iris HochstenbachDepartment of Surgery, Isala, Zwolle, the Netherlands.ORCID https://orcid.org/0009-0006-0667-6791
Julie J M HammDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID https://orcid.org/0009-0005-8655-3275
Eva RademakerDepartment of Surgery, Isala, Zwolle, the Netherlands.ORCID https://orcid.org/0000-0002-9083-2550
Arend G J AalbersDepartment of Surgery, Antoni van Leeuwenhoek Hospital/the Netherlands Cancer Institute, Amsterdam, the Netherlands.
Djamila BoermaDepartment of Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands.
Wilhelmina M U van GrevensteinDepartment of Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands.
Patrick H J HemmerDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0003-3228-6712
Ignace H J T De HinghDepartment of Surgical Oncology, Catharina Cancer Institute, Catharina Hospital Eindhoven, Eindhoven, the Netherlands.
Niels F M KokDepartment of Surgery, Antoni van Leeuwenhoek Hospital/the Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID https://orcid.org/0000-0003-1193-0214
Jurriaan B TuynmanDepartment of Surgery, Amsterdam University Medical Centre, Amsterdam, the Netherlands.
Eva V E MadsenDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0001-8433-964X
Johannes H W de WiltDepartment of Surgery, Radboud University Medical Centre, Nijmegen, the Netherlands.ORCID https://orcid.org/0000-0001-6773-9668
Esther C J ConstenDepartment of Surgery, University Medical Centre Groningen, Groningen, the Netherlands.ORCID https://orcid.org/0000-0002-9447-8181
Henderik L van WestreenenDepartment of Surgery, Isala, Zwolle, the Netherlands.
Pieter J TanisDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-3146-3310
COLOPEC Collaborators Group, Dutch Snapshot Research Group and Dutch Complex Colon Cancer Initiative

Funding

Isala Academy for Innovation and researchKWF KankerbestrijdingZonMw
6 · The paper itself

Abstract

aimThe randomized COLOPEC trial demonstrated no benefit of adjuvant hyperthermic intraperitoneal chemotherapy (HIPEC) in preventing peritoneal metastases in locally advanced colon cancer. Because all patients underwent a diagnostic laparoscopy at 18 months, the study lacked a true control arm, leaving the effect of early detection and treatment compared with standard care uncertain. This study aimed to compare long-term oncological outcomes between patients treated in the COLOPEC trial and patients treated in routine care.

methodPatients who underwent curative resection for c/pT4 or perforated colon cancer in the COLOPEC trial were compared with a retrospective control cohort that included all colon cancer resections performed in 2014-2015, in 50 Dutch hospitals. All 202 trial patients were matched 1:1 to 202 control patients using propensity score matching.

resultsFollowing treatment in both arms of the COLOPEC trial, compared to the matched control cohort, 5-year overall survival was 70.2% versus 72.8% (p = 0.77). Five-year disease-free survival was 62.1% versus 65.2% (p = 0.31) and five-year cumulative incidence of peritoneal metastases was 24.4% Versus 9.5% (p < 0.001). Cytoreductive surgery with HIPEC for peritoneal recurrence was performed in 28 (13.9%) versus 7 patients (3.5%; p < 0.001).

conclusionDespite increased detection and more frequent treatment of peritoneal metastases in the COLOPEC trial, 5-year overall and disease-free survival were comparable to routine practice.

Indexed as

Colonic NeoplasmsHyperthermic Intraperitoneal ChemotherapyPeritoneal NeoplasmsAgedChemotherapy, AdjuvantColorectal Surgical ProceduresDisease-Free SurvivalFemaleHumansHyperthermia, InducedLaparoscopyMaleMiddle AgedNetherlandsPropensity ScoreRetrospective Studiesadjuvant hyperthermic intraperitoneal chemotherapycolon cancerlocally advanced colon cancerperitoneal metastasespropensity score matchingroutine practicesecond‐look surgery

Identifiers

PMID42755020
PMCPMC13586421

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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.