Evidence map›Paper›PMID 38242575›Full record

Observational studyBJS open2024

Assessment of postoperative circulating tumour DNA to predict early recurrence in patients with stage I-III right-sided colon cancer: prospective observational study.

Kristin B Lygre, Rakel B Forthun, Trude Høysæter, Sigrun M Hjelle, Geir E Eide, Bjørn T Gjertsen, Frank Pfeffer, Randi Hovland

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BJS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03776591 (Open D3 Right Colectomy Compared to Laparoscopic CME Right Colectomy for Right Sided Colon Cancer; an Open Randomized Controlled Study), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT03776591 naactive not recruitingnot on this map

Open D3 Right Colectomy Compared to Laparoscopic CME Right Colectomy for Right Sided Colon Cancer; an Open Randomized Controlled Study

TypeinterventionalSponsorHaraldsplass Deaconess HospitalRan2016 to 2026Enrolled128ConditionsComplication, Quality of Life, Surgical Procedure, Unspecified, Lymph Node MetastasesArmsOpen surgery, Right colectomy, Laparoscopic surgery, Central lymphadenectomy and vascular ligation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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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

8 authors at 1 institution in 1 country.

Kristin B LygreDepartment of Gastrointestinal Surgery, Haraldsplass Deaconess Hospital, Bergen, Norway.ORCID 0000-0003-4421-3385
Rakel B ForthunDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
Trude HøysæterSection for Cancer Genomics, Haukeland University Hospital, Bergen, Norway.
Sigrun M HjelleDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
Geir E EideCentre for Clinical Research, Haukeland University Hospital, Bergen, Norway.
Bjørn T GjertsenDepartment of Medicine, Haukeland University Hospital, Bergen, Norway.
Frank PfefferDepartment of Gastrointestinal Surgery, Haukeland University Hospital, Bergen, Norway.
Randi HovlandSection for Cancer Genomics, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-8543-2213
Haukeland University Hospital · NO

Funding

Haukeland University HospitalLaboratory Medicine and Pathology 20/01Norwegian Health West Strategic funding 912009
6 · The paper itself

Abstract

backgroundRight-sided colon cancer (RCC) differs in mutation profile and risk of recurrence compared to distal colon cancer. Circulating tumour DNA (ctDNA) present after surgery can identify patients with residual disease after curative surgery and predict risk of early recurrence.

methodsThis is a prospective observational biomarker trial with exploration of ctDNA in 50 non-metastatic RCC patients for which oncological right-sided colectomy was performed. Blood samples were collected preoperatively, within 1 month post surgery, 3 months (not mandatory), 6 months and every 6 months thereafter. Plasma cell free DNA and/or tumour was investigated for cancer-related mutations by the next-generation sequencing (NGS) panel AVENIO surveillance specifically designed for ctDNA analysis. Detected mutations were quantified using digital droplet PCR (ddPCR) for follow-up. Recurrence-free survival was explored.

results50 patients were recruited. Somatic cancer-related mutations were detected in 47/50 patients. ddPCR validated results from NGS for 27/34 (plasma) and 72/72 samples (tumour). Preoperative ctDNA was detected in 31/47 of the stage I/III patients and the majority of ctDNA positive patients showed reduction of ctDNA after surgery (27/31). ctDNA-positive patients at first postoperative sample had high recurrence risk compared to patients without measurable ctDNA (adjusted hazard ratio: 172.91; 95% c.i.: 8.70 to 3437.24; P: 0.001).

conclusionctDNA was detectable in most patients with non-metastatic RCC before surgery. Positive postoperative ctDNA was strongly associated with early recurrence. Detectable postoperative ctDNA is a prognostic factor with high (100%) positive predictive value for recurrence in this cohort of non-metastatic RCC. CLINICAL

trial registrationClinicalTrials.gov ID: NCT03776591.

Indexed as

Carcinoma, Renal CellCirculating Tumor DNAColonic NeoplasmsKidney NeoplasmsBiomarkers, TumorHumansBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID38242575
PMCPMC10799327
OpenAlexW4391053620

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.