Evidence map›Paper›PMID 9378386›Full record

ArticleGut1997

K-ras mutations in patients with early colorectal cancers.

H J Andreyev, J V Tilsed, D Cunningham, S A Sampson, A R Norman, H J Schneider, P A Clarke

Abstract read
In one paragraph

Article in Gut, 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Alterations in K-ras, APC and p53-multiple genetic pathway in colorectal cancer among Indians.Tumour biology : the journal of the International Society for Oncodevelopmental Biology and Medicine · 2013
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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

7 authors.

H J AndreyevSection of Medicine, Royal Marsden Hospital, Sutton, Surrey, UK.
J V Tilsed
D Cunningham
S A Sampson
A R Norman
H J Schneider
P A Clarke

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublished data are contradictory about the importance of K-ras mutations in advanced tumours and are not available for early cancers.

aimsTo establish whether specific K-ras mutations are prognostic markers in early stage colorectal adenocarcinoma.

methodsThe presence of K-ras exon 1 mutations were correlated with tumour recurrence in two groups of patients: group 1 was a consecutive series of patients with resected colorectal adenocarcinoma at low risk of recurrence; group 2 were patients referred for chemotherapy after relapse of previously resected early stage tumours. K-ras mutations were detected by direct sequencing of whole tissue samples in all patients and in some, the leading edge and centre of the tumour were also microdissected out individually and sequenced.

resultsMutations were present in 26 (26.5%) of 98 patients in group 1; 14 patients developed a recurrence, four (28.5%) of whom had a K-ras mutation. Seventy nine patients have not developed tumour recurrence, 22 (28%) of whom had a mutation (p = 0.84). K-ras mutations were present in five of 14 patients in group 2. Microdissection did not increase the number of mutations detected.

conclusionsIndividual K-ras genotypes are distributed homogeneously throughout early stage colorectal adenocarcinomas, but detection of a mutation has no apparent prognostic value.

Indexed as

AdenocarcinomaAdultAgedAged, 80 and overColorectal NeoplasmsFemaleGenes, rasHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPoint Mutation

Identifiers

PMID9378386
PMCPMC1891500

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.