Evidence map›Paper›PMID 42882920›Full record

ReviewCancers2026

Differences in Somatic Mutations Between Early-Onset and Late-Onset Colorectal Cancer: A Systematic Review and Meta-Analysis.

Hui Lionel Raphael Chen, Jun Yan Ian Wee, Jun Kiat Thaddaeus Tan, Wei Ming Aaron Seah, Anders Jacobsen Skanderup, Chin-Ann Johnny Ong, Han Chong Toh, Kwong-Wei Emile Tan, Bee Huat Iain Tan

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. 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

9 authors.

Hui Lionel Raphael ChenDepartment of Colorectal Surgery, Singapore General Hospital, Singapore 169608, Singapore.
Jun Yan Ian WeeHealth Services Research Unit, Singapore General Hospital, Singapore 169608, Singapore.ORCID 0000-0001-8778-1943
Jun Kiat Thaddaeus TanDepartment of Colorectal Surgery, Singapore General Hospital, Singapore 169608, Singapore.ORCID 0000-0002-6021-5615
Wei Ming Aaron SeahDepartment of Colorectal Surgery, Singapore General Hospital, Singapore 169608, Singapore.ORCID 0000-0001-6765-9414
Anders Jacobsen SkanderupGenome Institute of Singapore (GIS), Agency for Science, Technology and Research (A*STAR), Singapore 138672, Singapore.
Chin-Ann Johnny OngDepartment of Sarcoma, Peritoneal and Rare Tumors (SPRinT), Division of Surgery and Surgical Oncology, National Cancer Centre Singapore, Singapore 168583, Singapore.ORCID 0000-0003-4573-7738
Han Chong TohDivision of Medical Oncology, National Cancer Centre Singapore, Singapore 168583, Singapore.
Kwong-Wei Emile TanDepartment of Colorectal Surgery, Singapore General Hospital, Singapore 169608, Singapore.
Bee Huat Iain TanDivision of Medical Oncology, National Cancer Centre Singapore, Singapore 168583, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly-onset colorectal cancer (EOCRC, diagnosed <50 years) is increasing globally and presents with advanced clinicopathological features, yet its mutational landscape compared to late-onset CRC (LOCRC) remains poorly defined.

methodsWe systematically searched PubMed and Embase (January 2016-December 2025) for studies comparing somatic mutations between EOCRC and LOCRC. Two reviewers independently screened 1880 records; 43 studies met inclusion criteria. Two public datasets (TCGA, China PanCancer) were also included. Meta-analyses were conducted using random-effects models with Review Manager. Subgroup analysis was restricted to microsatellite-stable (MSS) tumors. Meta-regression evaluated study-level differences in tumor sidedness and stage distribution as sources of heterogeneity. The primary outcome was odds ratios (OR) for mutations in 10 driver genes.

resultsAmong 154,982 participants, 33,937 (21.9%) had EOCRC. In the overall analysis, EOCRC showed higher frequencies of

conclusionsEOCRC exhibits a different mutational profile with higher

Indexed as

driver genesearly-onset colorectal cancersomatic mutations

Identifiers

PMID42882920
PMCPMC13664542

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.