Evidence mapPaperPMID 38144501Full record

ReviewAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2023

The Role of Nonmetastatic Lymph Nodes in the Survival of Colorectal Cancer: A Systematic Review.

Alexander J Pennings, Brecht A van der Velden, Maximilian Kloft, Loes F S Kooreman, Jos M P Kleijnen, Stephanie O Breukink, Geerard L Beets, Heike I Grabsch, Jarno Melenhorst

Open access · goldAbstract readReview
In one paragraph

Review in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2023. 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
0.3field-weighted citation impact, top 36% of its field
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, 1 citations in OpenAlex.

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 at 3 institutions in 3 countries.

Alexander J PenningsFrom the Department of Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.
Brecht A van der VeldenNUTRIM, School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.
Maximilian KloftDepartment of Pathology, Maastricht University Medical Center, Maastricht, the Netherlands.
Loes F S KooremanGROW School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.
Jos M P KleijnenFaculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Stephanie O BreukinkFrom the Department of Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.
Geerard L BeetsGROW School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.
Heike I GrabschGROW School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.
Jarno MelenhorstFrom the Department of Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.
Maastricht University · NLThe Netherlands Cancer Institute · NLUniversity of Giessen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: In this review, we aim to provide an overview of literature on lymph node (LN) histomorphological features and their relationship with the prognosis in colorectal cancer (CRC). Background: Lymph nodes play a crucial role in the treatment and prognosis of CRC. The presence of LN metastases considerably worsens the prognosis in CRC patients. Literature has shown that the total number of LNs and the number negative LNs (LNnegs) has prognostic value in CRC patients. In esophageal carcinoma, LN size seems to be surrogate of the host antitumor response and a potentially clinically useful new prognostic biomarker for (y)pN0 esophageal carcinoma. Methods: A comprehensive search was performed in Pubmed, Embase, Medline, CINAHL, and the Cochrane library in March 2021. The PRISMA guidelines were followed. Only studies focusing on histomorphological features and LN size and their relation to overall survival were selected. Results: A total of 9 unique articles met all inclusion criteria and were therefore included in this systematic review. Six of these studies investigated HMF (eg, paracortical hyperplasia, germinal center predominance, and sinus histiocytosis) and 4 studies LNneg size and their relationship with overall survival. The presence of paracortical hyperplasia and an increased number of large LNnegs is related to a more favorable prognosis in CRC. Conclusion: The results of this systematic review seem to support the hypothesis that there is a relationship between the host antitumor response reflected in different histomorphological reaction patterns visible in LNnegs and LNneg size related to survival in CRC patients.

Indexed as

colorectal cancerimmune systemlymph nodessurvival

Identifiers

PMID38144501
PMCPMC10735087
OpenAlexW4388406327

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.