Evidence map›Paper›PMID 20195683›Full record

ArticleInternational journal of clinical oncology2010

Alternate-day treatment with S-1 in patients with gastric cancer: a retrospective study of strategies for reducing toxicity.

Kazuya Sakuma, Yoshinori Hosoya, Wataru Arai, Hidenori Haruta, Takashi Ui, Kentaro Kurashina, Shin Saito, Yuki Hirashima, Taku Yokoyama, Toru Zuiki and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of clinical oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Safety of alternate-day treatment with TS-1The Journal of veterinary medical science · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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

14 authors.

Kazuya SakumaDepartment of Surgery, Jichi Medical University, 3311-1 Shimotsuke, Tochigi, 329-0498, Japan.
Yoshinori Hosoya
Wataru Arai
Hidenori Haruta
Takashi Ui
Kentaro Kurashina
Shin Saito
Yuki Hirashima
Taku Yokoyama
Toru Zuiki
Mananobu Hyodo
Hideo Nagai
Yoshikazu Yasuda
Tetsuhiko Shirasaka

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn patients with adverse events of S-1, the dose is generally reduced or the treatment cycle is shortened. Whether the therapeutic effectiveness of modified regimens is similar to that of the standard dosage remains unclear.

methodsWe retrospectively studied patients with gastric cancer who received S-1 on alternate days.

resultsA total of 266 patients received S-1 on alternate days. In 116 patients, S-1 was initially given at the standard dosage but was switched to alternate-day treatment because of toxicity within 28 days on average. The other 150 patients initially received alternate-day treatment because of poor general condition. In the adjuvant chemotherapy group (n = 96), the 3-year survival rate was 88% in patients with stage II, 73% in stage IIIA, and 67% in stage IIIB who underwent D2 lymph-node dissection. In the palliative surgery group (n = 96), the response rate was 13%, with a median survival time (MST) of 624 days. In patients with unresectable/recurrent disease (n = 74), the response rate was 25%, with an MST of 338 days. Among the 116 patients who initially received treatment on consecutive days, 100% had grade 1, 53% had grade 2, and 5.2% had grade 3 adverse events. When S-1 was switched to alternate-day treatment, toxicity decreased in all patients. In the 266 patients who received alternate-day treatment, 8% had grade 1, 6% had grade 2, and 0% had grade 3 adverse events.

conclusionAlternate-day treatment with S-1 may have milder adverse events without compromising therapeutic effectiveness.

Indexed as

AdultAgedAntimetabolites, AntineoplasticChemotherapy, AdjuvantDisease-Free SurvivalDrug Administration ScheduleDrug CombinationsFemaleGastrectomyHumansKaplan-Meier EstimateLymph Node ExcisionMaleMiddle AgedOxonic AcidPalliative CareAntimetabolites, AntineoplasticDrug CombinationsOxonic AcidS 1 (combination)Tegafur

Identifiers

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.