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pmid:30658510
Colorectal Cancer Prognosis is Not Associated with BRAF and KRAS Mutations-A STROBE Compliant Study.
Joon-Hyop Lee · Jiyoung Ahn · Won Seo Park · Eun Kyung Choe · Eunyoung Kim · Rumi Shin · Seung Chul Heo · Sohee Jung · Kwangsoo Kim · Young Jun Chai · Heejoon Chae
Journal of clinical medicine · 2019 doi:10.3390/jcm8010111
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Experiment
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Complete file
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The 3-year OS and DFS rates of the BRAF mutation (+) vs. mutation (-) groups were 92.6% vs. 90.4% and 79.7% vs. 68.4%, respectively. The 3-year OS and DFS rates of the KRAS mutation (+) vs. mutation (-) groups were 90.4% vs. 90.5% and 65.3% vs. 73.5%, respectively. In stage II patients, however, the 3-year OS rate was lower in the BRAF mutation (+) group than in the mutation (-) group (85.5% vs. 97.7%, p <0.001). The mutational status of BRAF genes of 497 CRC patients drawn from the GSE39582 database was not associated with OS or DFS. The 3-year OS and DFS rates of BRAF mutation (+) vs. mutation (-) groups were 75.7% vs. 78.9% and 73.6% vs. 71.1%, respectively. However, KRAS mutational status had an effect on 3-year OS rate (71.9% mutation (+) vs. 83% mutation (-), p = 0.05) and DFS rate (66.3% mutation (+) vs. 74.6% mutation (-), p = 0.013).\nCONCLUSIONS: We found no consistent association between the mutational status of BRAF nor KRAS and the OS and DFS of CRC patients from the TCGA and GSE39582 databases. Studies with longer-term records and larger patient numbers may be necessary to expound the influence of BRAF and KRAS mutations on the outcomes of CRC.", "claims": [{"id": "claim-method", "statement": "The potential influence of BRAF and KRAS mutations on each TNM stage on 3-year patient overall survival (OS) and disease-free survival (DFS) was analyzed using the life table method. Kaplan-Meier estimates were calculated for all possible combination of BRAF and KRAS mutation over each TNM stage.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:30658510", "locator": "sections[5] \"2.3. 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Results", "row_count": 18, "column_count": 4}, "table": {"label": "Table 1", "caption": "Baseline characteristics of datasets.", "rows": [["", "", "TCGA", "GSE39582"], ["Total number of patients studied", "", "447", "497"], ["Age at diagnosis (mean ± SD), years old", "", "65.0 ± 12.9", "66.8 ± 13.1"], ["Gender", "", "", ""], ["", "Male", "213 (47.7%)", "271 (54.5%)"], ["", "Female", "234 (52.3%)", "226 (45.5%)"], ["Number of BRAF mutations", "", "59 (13.2%)", "49 (9.9%)"], ["Number of KRAS mutations", "", "384 (85.9%)", "197 (39.6%)"], ["AJCC TNM stage (number of BRAF/KRAS mutations)", "", "", ""], ["", "I", "83 (10/36)", "32 (1/15)"], ["", "II", "172 (31/77)", "242 (21/83)"], ["", "III", "134 (14/50)", "163 (21/70)"], ["", "IV", "58 (4/21)", "60 (6/29)"], ["Survival event", "", "", ""], ["", "Dead", "46 (10.3%)", "40 (8.0%)"], ["", "Alive", "404 (90.4%)", "457 (92.0%)"], ["Median follow-up time, months (range)", "", "23.9 (0–147.9)", "52 (0–201)"], ["Median time to survival event, months (range)", "", "24.4 (4.0–99.9)", "31 (0–183)"]], "row_count": 18, "column_count": 4, "numeric_cells": 29, "header_rows": 1, "locator": "section[6]/table-wrap[1]#jcm-08-00111-t001"}}, {"id": "asset:table:pmid:30658510:2", "role": "table", "format": "jats-table", "media_type": "application/vnd.jats.table+json", "uri": null, "sha256": "sha256:20e04bd126d101d42b087e578a11042da8b7f681aaef6fb409e880e95f2daef0", "bytes": 897, "access": "open", "state": "verified", "reader": "read_table", "reader_status": "available", "identifier": "section[10]/table-wrap[1]#jcm-08-00111-t002", "version": null, "note": "BRAF/KRAS status and prognosis in previous studies.", "structure": {"pmcid": "PMC6351956", "section_index": 10, "section_title": "4. 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