Evidence map›Paper›PMID 19656158›Full record

Trial reportCancer science2009

Immunotherapy of ovarian cancer with cell wall skeleton of Mycobacterium bovis Bacillus Calmette-Guérin: effect of lymphadenectomy.

Akira Hayashi, Yuichi Nishida, Saiji Yoshii, Seo Young Kim, Hirotsugu Uda, Toshimitsu Hamasaki

Open access · greenAbstract readCase ReportsClinical TrialMulticenter Study
In one paragraph

Trial report in Cancer science, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  3. Maintenance of homeostasis by TLR4 ligands.Frontiers in immunology · 2024
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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

6 authors at 3 institutions in 1 country.

Akira HayashiCI Hayashi Immunotherapy Clinic and Research Institute, Osaka, Japan. ci-hayashi@sutv.zaq.ne.jp
Yuichi Nishida
Saiji Yoshii
Seo Young Kim
Hirotsugu Uda
Toshimitsu Hamasaki
Osaka University · JPHayashi Eye Hospital · JPHekinan Technical High School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The significance of lymphadenectomy in surgery for various kinds of cancer has been widely debated, particularly in the gynecological field. The cell wall skeleton of Mycobacterium bovis Bacillus Calmette-Guérin (BCG-CWS) has been used as an effective adjuvant for immunotherapy of a variety of cancer patients. Here we tested the immunological importance of lymph nodes in treatment of ovarian cancer patients with BCG-CWS. After surgical removal of tumors, 73 ovarian cancer patients were intracutaneously inoculated with BCG-CWS in the antigen-unloaded state in the upper arm at 4-week intervals at a dosage of 2-200 microg. Significant correlation of lymphadenectomy and reduced survival of patients was observed (stages I, II, III, IV; hazard ratio 2.38, 95% confidence interval 1.02-5.12, Cox regression model). Lymphadenectomy also compromised with induction of interferon-gamma. In view of the importance of the role of lymph nodes in stimulation of Toll-like receptors by BCG-CWS, it is suggested that lymph nodes should be kept as much as possible to preserve the patient's immunity against cancer. Application of these results to surgery for other cancers should be considered.

Indexed as

Adjuvants, ImmunologicAgedCell Wall SkeletonCombined Modality TherapyFemaleHumansImmunotherapyInterferon-gammaLymph Node ExcisionMiddle AgedMycobacterium bovisNeoplasm StagingOvarian NeoplasmsSurvival AnalysisAdjuvants, ImmunologicCell Wall SkeletonInterferon-gamma

Identifiers

PMID19656158
PMCPMC11159372
OpenAlexW1970510009

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.