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Cited by 398

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Risk Factors for Survival after Lung Metastasectomy in Colorectal Cancer Patients: A Systematic Review and Meta-Analysis

Open access
Gonzalez, Michel, Poncet, Antoine, Combescure, Christophe, Robert, John, Ris, Hans Beat, Gervaz, Pascal·2013·Annals of Surgical Oncology

Abstract

BackgroundResection of lung metastases (LM) from colorectal cancer (CRC) is increasingly performed with a curative intent. It is currently not possible to identify those CRC patients who may benefit the most from this surgical strategy. The aim of this study was to perform a systematic review of risk factors for survival after lung metastasectomy for CRC.MethodsWe performed a meta-analysis of series published between 2000 and 2011, which focused on surgical management of LM from CRC and included more than 40 patients each. Pooled hazard ratios (HR) were calculated by using random effects model for parameters considered as potential prognostic factors.ResultsTwenty-five studies including a total of 2925 patients were considered in this analysis. Four parameters were associated with poor survival: (1) a short disease-free interval between primary tumor resection and development of LM (HR 1.59, 95 % confidence interval [CI] 1.27–1.98); (2) multiple LM (HR 2.04, 95 % CI 1.72–2.41); (3) positive hilar and/or mediastinal lymph nodes (HR 1.65, 95 % CI 1.35–2.02); and (4) elevated prethoracotomy carcinoembryonic antigen (HR 1.91, 95 % CI 1.57–2.32). By comparison, a history of resected liver metastases (HR 1.22, 95 % CI 0.91–1.64) did not achieve statistical significance.ConclusionsClinical variables associated with prolonged survival after surgery for LM in CRC patients include prolonged disease-free interval between primary tumor and metastatic spread, normal prethoracotomy carcinoembryonic antigen, absence of thoracic node involvement, and a single pulmonary lesion.

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Metadata

Authors
Gonzalez, M., Poncet, A., Combescure, C., Robert, J., Ris, H. B., & Gervaz, P.
Venue
Annals of Surgical Oncology
Published
2012-10-28
Volume
20
Issue
2
Pages
572-579
ISSN
  • 1068-9265 (ISSN-L)
  • 1534-4681
OpenAlex
W2166756664
Cited by
398
References
27
FWCI
2.74
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Risk Factors for Survival after Lung Metastasectomy in Colorectal Cancer Patients: A Systematic Review and Meta-Analysis. https://app.cochat.ai/papers/10.1245/s10434-012-2726-3
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Gonzalez, M., Poncet, A., Combescure, C., Robert, J., Ris, H. B., & Gervaz, P. (2013). Risk Factors for Survival after Lung Metastasectomy in Colorectal Cancer Patients: A Systematic Review and Meta-Analysis. Annals of Surgical Oncology. https://doi.org/10.1245/s10434-012-2726-3

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