Evidence map›Paper›PMID 42445395›Full record

ArticleTranslational cancer research2026

The role of targeted therapy in the management of colorectal cancer liver metastases: a systematic review and meta-analysis.

Ming Yan, Rixing Bai, Wenmao Yan

Abstract read
In one paragraph

Article in Translational cancer research, 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
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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

3 authors.

Ming YanDepartment of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Rixing BaiDepartment of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Wenmao YanDepartment of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Colorectal cancer liver metastases (CRLM) are a leading cause of mortality in colorectal cancer (CRC) patients. Targeted therapy is widely used, but its precise impact on survival, tumor response, and resectability remains unclear. This study aimed to systematically evaluate the efficacy and safety of targeted therapy in CRLM patients through a meta-analysis. Methods: We searched PubMed, Embase, Web of Science, and Cochrane Library up to July 2025. Randomized controlled trials (RCTs) and cohort studies evaluating targeted therapy in CRLM were included. Primary outcomes were overall survival (OS) and progression-free survival (PFS); secondary outcomes included objective response rate (ORR), disease control rate (DCR), conversion to resection, and adverse events (AEs). Meta-analyses were performed using random- or fixed-effects models. Risk of bias was assessed with Cochrane RoB 2.0 and Newcastle-Ottawa Scale; evidence certainty was evaluated using Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Results: Thirty-four studies involving 12,084 patients were included. Targeted therapy significantly improved OS [hazard ratio (HR) =0.82, 95% confidence interval (CI): 0.76-0.89] and PFS (HR =0.74, 95% CI: 0.68-0.80). ORR and DCR were also higher [ORR, risk ratio (RR) =1.36, 95% CI: 1.20-1.54; DCR, RR =1.22, 95% CI: 1.10-1.35]. Conversion to resection increased (RR =1.45, 95% CI: 1.18-1.79), particularly in RAS wild-type, left-sided tumors. Grade ≥3 AEs were more frequent but manageable. Benefits were most pronounced in first-line and biomarker-selected populations. Conclusions: Targeted therapy improves survival, tumor response, and resectability in CRLM, especially in biomarker-selected subgroups. These findings support its integration into precision-based multidisciplinary management.

Indexed as

Colorectal cancer liver metastases (CRLM)meta-analysisresectionsurvivalsystematic reviewtargeted therapy

Identifiers

PMID42445395
PMCPMC13357076

What Socratic 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 Socratic graph.